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Lost Dreams Awaken
Substance Abuse Rehabilitation Facility in Modesto, California
NPI 1629747142

Lost Dreams Awaken is a Substance Abuse Rehabilitation Facility based in Modesto, CA. Lost Dreams Awaken practices in Modesto, CA. The NPI Number for Lost Dreams Awaken is 1629747142 and holds a License No. (California).

The current practice location address for Lost Dreams Awaken is 823 E Orangeburg Ave, Modesto, CA and can be reached out via phone at 209-527-9797 and via fax at 209-527-9825.

Location: 823 E Orangeburg Ave, Modesto, CA, 95350-4619
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1629747142
Provider Name
Lost Dreams Awaken
Credential
Provider Entity Type
Organization
Address
823 E Orangeburg Ave, Modesto, CA, 95350-4619
Phone Number
209-527-9797
Fax Number
209-527-9825
Provider Enumeration Date
09/08/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
823 E Orangeburg Ave
City
Modesto
State
California
Zip
95350-4619
Phone Number
209-527-9797
Fax Number
209-527-9825
person
Provider Business Mailing Address Details
Address
823 E Orangeburg Ave
City
Modesto
State
California
Zip
95350-4619
Phone Number
209-527-9797
Fax Number
209-527-9825
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
()
Definition
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.
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