ADOLESCENCE'S LAST RESORT NPI 1417252032

NPI Information

  • NPI: 1417252032
  • Provider Name: ADOLESCENCE'S LAST RESORT
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • Doing Business As: THE LAST RESORT
  • Address: 218 E. ORANGEBURG AVENUE
    MODESTO, CA
    ZIP 95350
  • Phone: (209) 523-6900

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NPI Details

ADOLESCENCE'S LAST RESORT is a substance abuse rehabilitation facility in Modesto, CA. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. ADOLESCENCE'S LAST RESORT NPI is 1417252032. 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:

218 E. ORANGEBURG AVENUE
MODESTO, CA
ZIP 95350
Phone: (209) 523-6900
Fax: (209) 523-6912

The provider's authorized official is Mignon Nicole Hearst .
The authorized official title is Office Manager and has the following contact phone number (209) 523-6910.

The enumeration date for this NPI number is 1/12/2011 and was last updated on 8/7/2013.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1324500000XSubstance Abuse Rehabilitation Facility507004599CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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