Organization
MODESTO RESIDENTIAL LIVING CENTER
Active
Other names
Modesto RLC,LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS A MONTEROSSO (OWNER)
(209) 530-9300
Entity
Organization
Contact information
Practice address
1932 EVERGREEN AVE, MODESTO, CA 95350-3738
(209) 530-9300
(209) 530-9303
Mailing address
1932 EVERGREEN AVE, MODESTO, CA 95350-3738
(209) 530-9300
(209) 530-9303
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
CA
Other
Enumeration date
04/24/2007
Last updated
08/22/2020
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