OrganizationActive
Adolescence'S Last Resort
NPI 1841585015 · Substance Use Disorder Rehabilitation Hospital Unit · Modesto, CA
Provider details
- NPI number
- 1841585015
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Hospital UnitHospital Units
- Authorized official
- Michelle Lucas, Administrator
- License
- 50010AN (CA)
Practice location
3125 Mchenry Ave
Suite D
Modesto, CA 95350-1451
Phone: (209) 523-6900
Mailing address
3125 Mchenry Ave
Modesto, CA 95350-1451
Registry dates
- Enumerated
- 2011-06-15
- Last updated
- 2012-04-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.