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Michelle Reynolds
Children's Substance Abuse Rehabilitation Facility in Modesto, California
NPI 1952732695

Michelle Reynolds is a Children's Substance Abuse Rehabilitation Facility based in Modesto, CA and is specialized in Substance Abuse Treatment, Children. Michelle Reynolds practices in Modesto, CA. The NPI Number for Michelle Reynolds is 1952732695 and holds a License No. RI-R1302231408 (California).

The current practice location address for Michelle Reynolds is 218 E Orangeburg Ave, Modesto, CA and can be reached out via phone at 209-523-6900.

Location: 218 E Orangeburg Ave, Modesto, CA, 95350-5313
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952732695
Provider Name
Michelle Reynolds
Credential
Provider Entity Type
Individual
Gender
Female
Address
218 E Orangeburg Ave, Modesto, CA, 95350-5313
Phone Number
209-523-6900
Fax Number
Provider Enumeration Date
12/05/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
218 E Orangeburg Ave
City
Modesto
State
California
Zip
95350-5313
Phone Number
209-523-6900
Fax Number
person
Provider Business Mailing Address Details
Address
218 E Orangeburg Ave
City
Modesto
State
California
Zip
95350-5313
Phone Number
209-523-6900
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
Substance Abuse Treatment, Children
Taxonomy
3245S0500X
License No.
RI-R1302231408 (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 children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.
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