ADOLESCENCE'S LAST RESORT

MODESTO, CA
NPI1841585015
Doing Business AsTHE LAST RESORT
Entity TypeOrganization
Authorized ContactMICHELLE DENISE LUCAS
Administrator
209-523-6900
Organization Subpart ?No
Primary Taxonomy276400000X Rehabilitation, Substance Use Disorder Unit
(Licence: CA  50010AN)
Enumeration Date2011-06-15
Last Update Date2012-04-10
Business Address
ADOLESCENCE'S LAST RESORT
3125 MCHENRY AVE SUITE D
MODESTO, CA 95350-1451
Phone number: 209-523-6900
Mailing Address
ADOLESCENCE'S LAST RESORT
3125 MCHENRY AVE SUITE D
MODESTO, CA 95350-1451
Phone number: 209-523-6900