Organization · Type 2 NPI
Modern Recovery, LLC
Mental Health Clinic/Center (Including Community Mental Health Center) · Fort Worth, TX
NPI number
1417636309
Active
Practice location
702 Houston St # 118
Fort Worth, TX 76102-5004
Mailing address
11445 E Via Linda Ste 2-617
Scottsdale, AZ 85259-2655
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
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About NPI 1417636309
Modern Recovery, LLC's National Provider Identifier is 1417636309, issued on Jul 17, 2023. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Fort Worth, TX. The record was last updated on Dec 11, 2025.