person
Shannon Denise Reilly, CAS
Substance Abuse Rehabilitation Facility in Pollock Pines, California
NPI 1891937306

Shannon Denise Reilly is a Substance Abuse Rehabilitation Facility based in Camino, CA. Shannon Denise Reilly practices in Pollock Pines, CA and has the professional credentials of CAS. The NPI Number for Shannon Denise Reilly is 1891937306 and holds a License No. 324500000X (California).

The current practice location address for Shannon Denise Reilly is 5494 Pony Express Trail, Pollock Pines, CA and can be reached out via phone at 530-644-3758 and via fax at 530-644-3782.

Location: 5494 Pony Express Trail, Pollock Pines, CA, 95709-0586
person
Provider Profile Details
NPI Number
1891937306
Provider Name
Shannon Denise Reilly
Credential
CAS
Provider Entity Type
Individual
Gender
Female
Address
5494 Pony Express Trail, Pollock Pines, CA, 95709-0586
Phone Number
530-644-3758
Fax Number
530-644-3782
Provider Enumeration Date
03/30/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5494 Pony Express Trail
City
State
Zip
95726
Phone Number
530-644-3758
Fax Number
530-644-3782
person
Provider Business Mailing Address Details
Address
5494 Pony Express Trail
City
State
Zip
95726
Phone Number
530-644-3758
Fax Number
530-644-3782
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
License No.
324500000X (California)
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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