THE LAST RESORT – NPI #1417252032
Substance Abuse Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

THE LAST RESORT is a substance abuse rehabilitation facility located in MODESTO, CA. NPPES has assigned the NPI number 1417252032 to THE LAST RESORT on January 12, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “THE LAST RESORT” is a dba name, the actual legal business name for this organization is ADOLESCENCE'S LAST RESORT. The primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

The NPI profile was previously updated about 13 years ago on Aug 07, 2013. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for THE LAST RESORT below.

NPI Profile for
ADOLESCENCE'S LAST RESORT

NPI Number
1417252032
Enumeration Date

(more than 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ADOLESCENCE'S LAST RESORT
Doing Business As (dba): THE LAST RESORT
Primary location
218 E. ORANGEBURG AVENUE
MODESTO, CA 95350
Phone: (209) 523-6900 Fax: (209) 523-6912
Mailing address
3125 MCHENRY AVENUE STE D.
MODESTO, CA 95350
Phone: (209) 523-6910 Fax: (209) 523-6912
Organization Subpart
No
Authorized Official
MIGNON HEARST
OFFICE MANAGER
Phone: (209) 523-6910
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
324500000X
- Substance Abuse Rehabilitation Facility (Primary)
CA 507004599

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.