Organization
ROOTS OF ADDICTION COUNSELING CENTER LLC
Active
Parent organization
1306952
Other names
GPS Counseling Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
1306952
Authorized official
DAVID RAESE (CEO)
(209) 758-7477
Entity
Organization
Contact information
Practice address
1101 SYLVAN AVE STE C103, MODESTO, CA 95350-1687
(209) 578-7477
Mailing address
1101 SYLVAN AVE STE C103, MODESTO, CA 95350-1687
(209) 578-7477
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
11/29/2022
Last updated
03/07/2024
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