Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
INSTITUTE OF MODERN RECOVERY
Active
Organization
INSTITUTE OF MODERN RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CRESTON DAVIS MA (CEO-LMFT)
(619) 288-6866
Entity
Organization
Contact information
Practice address
2725 CONGRESS ST, SUITE 1D, SAN DIEGO, CA 92110-2757
(619) 288-6866
Mailing address
2725 CONGRESS ST STE 1D, SAN DIEGO, CA 92110-2766
(619) 288-6866
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
NULL
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
06/03/2014
Last updated
01/02/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers