Organization · Type 2 NPI

My Teen Mental Health LLC

Community/Behavioral Health Agency · Modesto, CA

NPI number 1073323309 Active

Practice location

1101 Standiford Ave Ste A1
Modesto, CA 95350-0981

Mailing address

2915 Red Hill Ave Ste A210C
Costa Mesa, CA 92626-7979

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XNone listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1073323309

My Teen Mental Health LLC's National Provider Identifier is 1073323309, issued on Jan 9, 2025. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Modesto, CA. The record was last updated on Jul 23, 2026.