NPI Code Details Logo

NPI 1346522398

NPI 1346522398 : ADAPT PROGRAMS, LLC : CLEVELAND, TX

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1346522398
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    ADAPT PROGRAMS, LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    09/15/2011
-----------------------------------------------------
    Last Update Date     |    06/19/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    104 N TRAVIS AVE 
-----------------------------------------------------
    City                 |    CLEVELAND
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    77327-4012
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    979-480-3327
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    PO BOX 474 
-----------------------------------------------------
    City                 |    ANGLETON
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    77516-0474
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    DIRECTOR
-----------------------------------------------------
    Name                 |     JOSEPH  GARDZINA 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    979-480-3327
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    261QR0405X
-----------------------------------------------------
    Taxonomy Name        |    Substance Use Disorder Rehabilitation Clinic/Center
-----------------------------------------------------
    License Number       |    7657
-----------------------------------------------------
    License Number State |    TX
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.