ADOLESCENCE'S LAST RESORT NPI 1841585015

NPI Information

ADOLESCENCE'S LAST RESORT is a rehabilitation substance use disorder unit in Modesto, CA. The provider is a distinct part of a hospital that provides medically monitored, interdisciplinary addiction-focused treatment to patients/clients who have psychoactive substance use disorders (commonly referred to as alcohol and drug abuse or substance abuse.) ADOLESCENCE'S LAST RESORT NPI is 1841585015. The provider is registered as an organization entity type.
The provider Is Doing Business As The Last Resort.

The provider's business location address is:

3125 MCHENRY AVE
SUITE D
MODESTO, CA
ZIP 95350-451
Phone: (209) 523-6900

The provider's authorized official is Michelle Denise Lucas .
The authorized official title is Administrator and has the following contact phone number (209) 523-6900.

The enumeration date for this NPI number is 6/15/2011 and was last updated on 4/10/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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