OrganizationActive
Adolescence'S Last Resort
NPI 1417252032 · Substance Abuse Rehabilitation Facility · Modesto, CA
Provider details
- NPI number
- 1417252032
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Mignon Hearst, Office Manager(209) 523-6910
- License
- 507004599 (CA)
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
218 E. Orangeburg Avenue
Modesto, CA 95350
Phone: (209) 523-6900
Fax: (209) 523-6912
Street-level locationGet directions
Mailing address
3125 Mchenry Avenue Ste D.
Modesto, CA 95350
Other names (DBA / former)
- Doing business as
- The Last Resort
Registry dates
- Enumerated
- 2011-01-12
- Last updated
- 2013-08-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.