An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Adolescent and Children Mental Health |
261QM0855X | |||
Health Service |
261QH0100X | |||
Rehabilitation, Substance Use Disorder |
261QR0405X |
| NPI # | 1477104362 |
| LBN Legal business name | MODERN RECOVERY, LLC |
| Authorized official | ANDREA STINER - (BILLING DIRECTOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 09/23/2019 |
| Last updated | 12/11/2025 - About 6 months ago |
| Identifiers | n/a |
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