OrganizationActive
209 Recovery LLC
NPI 1700621901 · Substance Use Disorder Rehabilitation Clinic/Center · Modesto, CA
Provider details
- NPI number
- 1700621901
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Scott Sample, Authorized Official
Practice location
1101 Standiford Ave # D1b
Modesto, CA 95350-0982
Phone: (559) 231-2700
Mailing address
2915 Red Hill Ave Ste A200
Costa Mesa, CA 92626-7978
Registry dates
- Enumerated
- 2024-06-28
- Last updated
- 2024-06-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.