Provider Demographics
NPI:1104372176
Name:VALLEY RECOVERY RESOURCES
Entity Type:Organization
Organization Name:VALLEY RECOVERY RESOURCES
Other - Org Name:REDWOOD FAMILY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:MARK
Authorized Official - Last Name:BERKOWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:209-521-1805
Mailing Address - Street 1:1030 CALIFORNIA AVE
Mailing Address - Street 2:
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95351-2102
Mailing Address - Country:US
Mailing Address - Phone:209-550-7352
Mailing Address - Fax:209-521-7001
Practice Address - Street 1:416 CORSON AVE
Practice Address - Street 2:
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95350-5408
Practice Address - Country:US
Practice Address - Phone:209-521-1805
Practice Address - Fax:209-521-1827
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-30
Last Update Date:2022-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility