Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ADOLESCENCE'S LAST RESORT
Active OrganizationSubstance Use Disorder Unit · MODESTO, CA
Registration Details
- NPI Number
- 1841585015
- Provider Type
- Organization
- NPI Issued
- Jun 15, 2011 (14.851024916462 yrs)
- Last Updated
- Apr 10, 2012
- License
-
50010AN (CA)
Practice Information
- Address
-
3125 MCHENRY AVESUITE DMODESTO, CA, 953501451Browse CA providers · Browse ZIP 95350
- Phone
- 2095236900
- Primary Specialty
-
Substance Use Disorder Unit
276400000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.