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Modesto Residential Living Center
Mental Illness Community Based Residential Treatment Facility in Modesto, California
NPI 1720207418

Modesto Residential Living Center is a Mental Illness Community Based Residential Treatment Facility based in Modesto, CA. Modesto Residential Living Center practices in Modesto, CA. The NPI Number for Modesto Residential Living Center is 1720207418 and holds a License No. (California).

The current practice location address for Modesto Residential Living Center is 1932 Evergreen Ave, Modesto, CA and can be reached out via phone at 209-530-9300 and via fax at 209-530-9303.

Location: 1932 Evergreen Ave, Modesto, CA, 95350-3738
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1720207418
Provider Name
Modesto Residential Living Center
Credential
Provider Entity Type
Organization
Address
1932 Evergreen Ave, Modesto, CA, 95350-3738
Phone Number
209-530-9300
Fax Number
209-530-9303
Provider Enumeration Date
04/24/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1932 Evergreen Ave
City
Modesto
State
California
Zip
95350-3738
Phone Number
209-530-9300
Fax Number
209-530-9303
person
Provider Business Mailing Address Details
Address
1932 Evergreen Ave
City
Modesto
State
California
Zip
95350-3738
Phone Number
209-530-9300
Fax Number
209-530-9303
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
(California)
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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