Active Change Recovery Inc

LBN: Active Change Recovery Inc
Active Change Recovery Inc is an health care organization with primary practice located at 1823 Erickson Cir , Stockton CA 95206-6355. The organization recently has 4 registered licenses in different health care specialties including Agencies / Case Management, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Agencies / Community/Behavioral Health is the primary health care specialty. Active Change Recovery Inc can be contacted via phone (559) 250-1121, or through Sisneroz, Martin via phone (559) 250-1121.

Contact Information

Primary practice address
1823 Erickson Cir Stockton CA 95206-6355
Phone: (559) 250-1121
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Sisneroz, Martin
Phone: (559) 250-1121

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X

Profile Details

NPI number 1508648163
LBN Legal business name Active Change Recovery Inc
DBA Doing business as
Authorized official Sisneroz, Martin
Entity Organization
Organization subpart 1 No
Enumeration date Oct 18th, 2023
Last updated Oct 18th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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