| Bradly's Houses, Llc | |
|
540 Main St Ste 112 Delta CO 81416-1834 | |
| (970) 361-7808 | |
| Not Available |
| Full Name | Bradly's Houses, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 540 Main St Ste 112, Delta, Colorado |
| Authorized Official Name and Position | Derek Gordon (OWNER) |
| Authorized Official Contact | 9703617808 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bradly's Houses, Llc 540 Main St Ste 112 Delta CO 81416-1834 Ph: (970) 361-7808 | Bradly's Houses, Llc 540 Main St Ste 112 Delta CO 81416-1834 Ph: (970) 361-7808 |
| NPI Number | 1639931199 |
|---|---|
| Provider Enumeration Date | 01/29/2024 |
| Last Update Date | 01/29/2024 |
| Certification Date | 01/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639931199 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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