Organization · Type 2 NPI
Modesto Residential Living Center
Mental Illness Community Based Residential Treatment Facility · Modesto, CA
NPI number
1720207418
Active
Practice location
1932 Evergreen Ave
Modesto, CA 95350-3738
Fax (209) 530-9303
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | None listed |
Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Other mental illness community based residential treatment facility providers in Modesto
About NPI 1720207418
Modesto Residential Living Center's National Provider Identifier is 1720207418, issued on Apr 24, 2007. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Modesto, CA. The record was last updated on Aug 22, 2020.