Organization · Type 2 NPI

Lost Dreams Awaken

Substance Abuse Rehabilitation Facility · Modesto, CA

NPI number 1629747142 Active

Practice location

823 E Orangeburg Ave
Modesto, CA 95350-4619

Call (209) 527-9797 Map

Fax (209) 527-9825

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Substance Abuse Rehabilitation Facility Primary 324500000XNone listed

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.

4 other providers at this address

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About NPI 1629747142

Lost Dreams Awaken's National Provider Identifier is 1629747142, issued on Sep 8, 2021. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Modesto, CA. The record was last updated on Apr 21, 2023.