SearchTexasIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Jeffrey Adisam

NPI 1851831911 · on the registry since 2017 · sole proprietor

Practice

Address
1087 E Independence St
306
Giddings, TX 78942
Phone
(720) 277-7404

Registry record

Primary taxonomy
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
320900000X
Sex
Male
Record last updated
2017-03-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas