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

Active Change Recovery Inc

Organization Community/Behavioral Health Agency · NPI 1801763214

Active Change Recovery Inc is a Community/Behavioral Health Agency in Stockton, California. Works from 3 locations. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
3
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 (2)

  • 3541 Tom Ln, Stockton, CA 95206-6140 — (209) 921-0971
  • 1894 Gordon Verner Cir, Stockton, CA 95206-6138 — (209) 921-0971

Specialties & licences

Non-emergency Medical Transport (VAN) (primary) Taxonomy 343900000X
Community/Behavioral Health Agency Taxonomy 251S00000X
Respite Care Taxonomy 385H00000X

Record details

NPI number1801763214
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Martin Sisneroz — Ceo · (209) 921-0971
NPI enumeratedOctober 21, 2025
Last updated in NPPESOctober 21, 2025
Certification dateOctober 21, 2025
Mailing address1738 Bartlett Ct, Stockton, CA 95206-6358

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