Brazos Place

LBN: Adapt Foundation Inc
Brazos Place is an health care organization with primary practice located at 1103 N Avenue H , Freeport TX 77541-4006. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as the primary health care specialty. Adapt Foundation Inc can be contacted via phone (979) 233-3826, or through Gardzina, Joseph via phone (832) 892-2055.

Contact Information

Primary practice address
1103 N Avenue H Freeport TX 77541-4006
Phone: (979) 233-3826
Fax: (979) 233-3708
Website:
Map and Directions
Authorized official contact:
Name: Gardzina, Joseph LCDC
Phone: (832) 892-2055

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X 3994-3995 Texas

Profile Details

NPI number 1497985998
LBN Legal business name Adapt Foundation Inc
DBA Doing business as Brazos Place
Authorized official Gardzina, Joseph LCDC
Entity Organization
Organization subpart 1 No
Enumeration date Jul 17th, 2009
Last updated Dec 12th, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497985998 NPPES
Texas MEDICAID 065443601

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