Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHELLE REYNOLDS
Active Sole ProprietorMICHELLE REYNOLDS is a Children's Substance Abuse Rehabilitation Facility healthcare provider located in MODESTO, California. NPI 1952732695 is currently active in the NPPES registry. Verify at CMS.
Children's Substance Abuse Rehabilitation Facility · MODESTO, CA
Registration Details
- NPI Number
- 1952732695
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 5, 2013 (12.732784394218 yrs)
- Last Updated
- Dec 5, 2013
- License
-
RI-R1302231408 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
218 E ORANGEBURG AVEMODESTO, CA, 953505313Browse CA providers · Browse ZIP 95350
- Phone
- 2095236900
- Primary Specialty
-
Children's Substance Abuse Rehabilitation Facility
3245S0500X
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.