Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Active Change Recovery Inc

Organization Case Management Agency · NPI 1508648163

Active Change Recovery Inc is a Case Management Agency in Stockton, California. Works from 8 locations. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
4
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

229 E Weber Ave Ste 103
Stockton, CA 95202-2751
Phone: (209) 921-0971
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (7)

  • 1910 Geneva Dr, Modesto, CA 95350-2824 — (209) 921-0971
  • 1894 Gordon Verner Cir, Stockton, CA 95206-6138 — (559) 250-1121
  • 1823 Erickson Cir, Stockton, CA 95206-6355 — (559) 250-1121
  • 1738 Bartlett Ct, Stockton, CA 95206-6358 — (209) 921-0971
  • 3319 Estate Dr, Stockton, CA 95209-5152 — (209) 921-0971
  • 8428 Hamilton Way, Stockton, CA 95209-2215 — (209) 921-0971
  • 3541 Tom Ln, Stockton, CA 95206-6140 — (209) 921-0971

Specialties & licences

Case Management Agency (primary) Taxonomy 251B00000X
Community/Behavioral Health Agency Taxonomy 251S00000X
Substance Use Disorder Rehabilitation Clinic/Center Taxonomy 261QR0405X
Substance Abuse Rehabilitation Facility Taxonomy 324500000X

Record details

NPI number1508648163
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Martin Sisneroz — Ceo · (559) 250-1121
NPI enumeratedOctober 18, 2023
Last updated in NPPESJanuary 13, 2026
Certification dateJanuary 13, 2026
Mailing address1738 Bartlett Ct, Stockton, CA 95206-6358

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