# ACTIVE CHANGE RECOVERY INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508648163
- **Authorized official:** MR. MARTIN SISNEROZ JR. (CEO)
- **Authorized official phone:** (559) 250-1121

## Contact information

- **Practice address:** 229 E WEBER AVE STE 103, STOCKTON, CA 95202-2751
- **Practice address phone:** (209) 921-0971
- **Mailing address:** 1738 BARTLETT CT, STOCKTON, CA 95206-6358
- **Mailing address phone:** (559) 250-1121

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 261QR0405X | Substance Use Disorder Rehabilitation Clinic/Center | — | NULL | — |
| 324500000X | Substance Abuse Rehabilitation Facility | — | NULL | — |

## Other

- **Enumeration date:** 10/18/2023
- **Last updated:** 01/13/2026