ADOLESCENCE'S LAST RESORT
Organization (NPI-2)
Active
Substance Abuse Rehabilitation Facility
Provider Information
- NPI Number
1417252032- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 218 E. ORANGEBURG AVENUE, MODESTO, CA, 95350
- Phone
- (209) 523-6900
- Fax
- (209) 523-6912
Specialties & Taxonomies
Substance Abuse Rehabilitation Facility
Primary License: CA #507004599