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Adolescence's Last Resort
Substance Use Disorder Rehabilitation Hospital Unit in Modesto, California
NPI 1841585015

Adolescence's Last Resort is a Substance Use Disorder Rehabilitation Hospital Unit based in Modesto, CA. Adolescence's Last Resort practices in Modesto, CA. The NPI Number for Adolescence's Last Resort is 1841585015 and holds a License No. 50010AN (California).

The current practice location address for Adolescence's Last Resort is 3125 Mchenry Ave, Modesto, CA and can be reached out via phone at 209-523-6900.

Location: 3125 Mchenry Ave, Modesto, CA, 95350-1451
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1841585015
Provider Name
Adolescence's Last Resort
Credential
Provider Entity Type
Organization
Address
3125 Mchenry Ave, Modesto, CA, 95350-1451
Phone Number
209-523-6900
Fax Number
Provider Enumeration Date
06/15/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5041 01 CA DRUG MEDI-CAL
500010AN 01 CA ALCOHOL AND DRUG PROGRAMS
507004599 01 CA DEPARTMENT OF SOCIAL SERVICES, CHILDRENS RESIDENTIAL PROGRAM
institution
Provider Business Practice Location Address Details
Address
3125 Mchenry Ave
City
Modesto
State
California
Zip
95350-1451
Phone Number
209-523-6900
Fax Number
person
Provider Business Mailing Address Details
Address
3125 Mchenry Ave
City
Modesto
State
California
Zip
95350-1451
Phone Number
209-523-6900
Fax Number
person
Provider's Taxonomy Details 1
Type
Hospital Units
Classification
Rehabilitation, Substance Use Disorder Unit
Speciality
-
Taxonomy
276400000X
License No.
50010AN (California)
Definition
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.)
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