The Last Resort

LBN: Adolescence'S Last Resort
The Last Resort is an health care organization with primary practice located at 3125 Mchenry Ave Suite D, Modesto CA 95350-1451. The organization recently has only one registered license in Hospital Units / Rehabilitation, Substance Use Disorder Unit, which is considered as the primary health care specialty. Adolescence'S Last Resort can be contacted via phone (209) 523-6900, or through Lucas, Michelle Denise via phone (209) 523-6900.

Contact Information

Primary practice address
3125 Mchenry Ave Suite D Modesto CA 95350-1451
Phone: (209) 523-6900
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lucas, Michelle Denise
Phone: (209) 523-6900

Health care specialties

SpecialtyCodeLicense #State
Hospital Units / Rehabilitation, Substance Use Disorder Unit 276400000X 50010AN California

Profile Details

NPI number 1841585015
LBN Legal business name Adolescence'S Last Resort
DBA Doing business as The Last Resort
Authorized official Lucas, Michelle Denise
Entity Organization
Organization subpart 1 No
Enumeration date Jun 15th, 2011
Last updated Apr 10th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841585015 NPPES
California Other 5041 DRUG MEDI-CAL
California Other 500010AN DRUG MEDI-CAL
California Other 507004599 DRUG MEDI-CAL

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