Organization · Type 2 NPI

Roots of Addiction Counseling Center LLC

Substance Use Disorder Rehabilitation Clinic/Center · Modesto, CA

NPI number 1740990928 Active

Practice location

1101 Sylvan Ave Ste C103
Modesto, CA 95350-1687

Specialties and licenses

Taxonomy	Code	License
Substance Use Disorder Rehabilitation Clinic/Center Primary	261QR0405X	None listed

Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...

2 other providers at this address

David Raese, SUDRC#15389Addiction (Substance Use Disorder) Counselor Modesto, CA NPI 1760264915
Gary Joseph Bettencourt, SUDCCAddiction (Substance Use Disorder) Counselor Modesto, CA NPI 1689456717

Other substance use disorder rehabilitation clinic/center providers in Modesto

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NPI record

NPI: 1740990928
Entity type: Organization (Type 2)
Issued: Nov 29, 2022
Last updated: Mar 7, 2024
Status: Active
Subpart: Yes of 1306952

Other names

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GPS Counseling Center · doing business as
GPS Counseling Center · doing business as

Authorized official

David Raese
CEO
(209) 758-7477

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About NPI 1740990928

Roots of Addiction Counseling Center LLC's National Provider Identifier is 1740990928, issued on Nov 29, 2022. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Modesto, CA. The record was last updated on Mar 7, 2024.