Healthcare Provider Details

I. General information

NPI: 1871488973
Provider Name (Legal Business Name): VALLEY RECOVERY RESOURCES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2025
Last Update Date: 11/24/2025
Certification Date: 11/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1030 CALIFORNIA AVE
MODESTO CA
95351-2102
US

IV. Provider business mailing address

1030 CALIFORNIA AVE
MODESTO CA
95351-2102
US

V. Phone/Fax

Practice location:
  • Phone: 209-550-7352
  • Fax: 209-521-7001
Mailing address:
  • Phone: 209-550-7352
  • Fax: 209-521-7001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. STEVEN MARK BERKOWITZ
Title or Position: EXECUTIVE DIRECTOR
Credential: LMFT
Phone: 209-550-7352