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Organization

ADDICTION FREE RECOVERY SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. NICOLE DEANNE BLANCHARD (OFFICE MANAGER)
(209) 579-3301
Entity
Organization

Contact information

Practice address
2937 VENEMAN AVE STE A105, MODESTO, CA 95356-0639
(209) 579-3301
(209) 579-3311
Mailing address
2937 VENEMAN AVE STE A105, MODESTO, CA 95356-0639
(209) 579-3301
(209) 579-3311

Taxonomy

Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary

Other

Enumeration date
04/15/2015
Last updated
04/15/2015
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