1841585015 ADOLESCENCE'S LAST RESORT
Substance Use Disorder Rehabilitation Hospital Unit
Active
Basic Information
- Organization Name
- ADOLESCENCE'S LAST RESORT
- Enumeration Date
- June 15, 2011
- Last Update
- April 10, 2012
- Authorized Official
- MICHELLE DENISE LUCAS
ADMINISTRATOR
Phone: (209) 523-6900
Practice Location
- Address
- 3125 MCHENRY AVE
SUITE D
MODESTO, CA 953501451 - Phone
- (209) 523-6900
Mailing Address
- Address
- 3125 MCHENRY AVE
SUITE D
MODESTO, CA 953501451 - Phone
- (209) 523-6900
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Hospital Unit | 276400000X | Rehabilitation, Substance Use Disorder Unit | 50010AN | CA | Primary |
Other 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 |
Frequently Asked Questions
What is ADOLESCENCE'S LAST RESORT's NPI number?
ADOLESCENCE'S LAST RESORT's NPI number is 1841585015.
Which doctor has NPI number 1841585015?
The doctor with NPI number 1841585015 is ADOLESCENCE'S LAST RESORT.
What is ADOLESCENCE'S LAST RESORT's practice address?
ADOLESCENCE'S LAST RESORT's practice address is 3125 MCHENRY AVE, SUITE D, MODESTO, CA, 953501451.
Which doctor practices at 3125 MCHENRY AVE, SUITE D, MODESTO, CA, 953501451?
ADOLESCENCE'S LAST RESORT practices at 3125 MCHENRY AVE, SUITE D, MODESTO, CA, 953501451.
What is ADOLESCENCE'S LAST RESORT's phone number?
ADOLESCENCE'S LAST RESORT's phone number is (209) 523-6900.
Who is (209) 523-6900?
(209) 523-6900 is the phone number for ADOLESCENCE'S LAST RESORT.
What is ADOLESCENCE'S LAST RESORT's specialty?
ADOLESCENCE'S LAST RESORT's specialty is Substance Use Disorder Rehabilitation Hospital Unit.
What type of doctor is ADOLESCENCE'S LAST RESORT?
ADOLESCENCE'S LAST RESORT is a Substance Use Disorder Rehabilitation Hospital Unit.
Is ADOLESCENCE'S LAST RESORT a Rehabilitation, Substance Use Disorder Unit?
Yes, ADOLESCENCE'S LAST RESORT is a Rehabilitation, Substance Use Disorder Unit.
Is ADOLESCENCE'S LAST RESORT still practicing?
Yes, ADOLESCENCE'S LAST RESORT is currently practicing.
Is ADOLESCENCE'S LAST RESORT accepting new patients?
ADOLESCENCE'S LAST RESORT may be accepting new patients. Please call their office at (209) 523-6900 to inquire about availability.
Is NPI 1841585015 still active?
Yes, NPI 1841585015 is currently active.
Where does ADOLESCENCE'S LAST RESORT practice?
ADOLESCENCE'S LAST RESORT practices in MODESTO, CA.