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LOST DREAMS AWAKEN NPI 1629747142


NPI Information

NPI: 1629747142
Provider Name: LOST DREAMS AWAKEN

Doing Business As: NEW HOPE RECOVERY

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 05D2274842

Address:
823 E ORANGEBURG AVE
MODESTO, CA
ZIP 95350
Phone: (209) 527-9797
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LOST DREAMS AWAKEN 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. LOST DREAMS AWAKEN NPI is 1629747142. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As New Hope Recovery.

The provider's business location address is:

823 E ORANGEBURG AVE
MODESTO, CA
ZIP 95350-619
Phone: (209) 527-9797
Fax: (209) 527-9825

The provider's authorized official is Cathy Robison .
The authorized official title is Managing Partner and has the following contact phone number (209) 527-9797.

The CLIA number assigned to this NPI record is 05D2274842 - other - govt employment with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/8/2021 and was last updated on 4/21/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2324500000XSubstance Abuse Rehabilitation FacilityYes

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: 4/28/2024

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