NPI | 1639834336 |
---|---|
Other Name | ADVANCED ADULT PROVIDERS LLC |
Entity Type | Organization |
Authorized Contact | WILLIAM BRADFORD Director 719-565-8829 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2021-11-08 |
Last Update Date | 2021-11-08 |