Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. CHARLES ALDEN REDBURN
Active Sole ProprietorMR. CHARLES ALDEN REDBURN is a Emotionally Disturbed Children Residential Treatment healthcare provider located in POMONA, Missouri. NPI 1952689473 is currently active in the NPPES registry. Verify at CMS.
Emotionally Disturbed Children Residential Treatment · POMONA, MO
Registration Details
- NPI Number
- 1952689473
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 1, 2011 (15.075123164714 yrs)
- Last Updated
- Aug 1, 2011
- Sole Proprietor
- Yes
Practice Information
- Address
-
7050 COUNTY ROAD 4730POMONA, MO, 657899586Browse MO providers · Browse ZIP 65789
- Phone
- 4172560016
- Primary Specialty
-
Emotionally Disturbed Children Residential Treatment
320900000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.