Michelle Reynolds

Individual provider Children's Substance Abuse Rehabilitation Facility · NPI 1952732695

Michelle Reynolds is a Children's Substance Abuse Rehabilitation Facility in Modesto, California. Practices as a sole proprietor. Licensed in California.

Licensed in: CA
In the registry since: 2013

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Practice location Address checks out

218 E Orangeburg Ave
Modesto, CA 95350-5313
Phone: (209) 523-6900

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Specialties & licences

Children's Substance Abuse Rehabilitation Facility (primary)	Taxonomy 3245S0500X · Licence RI-R1302231408 (CA)

Record details

NPI number	1952732695
Entity type	Individual (Type 1)
Gender	Female
Sole proprietor	Yes
NPI enumerated	December 5, 2013
Last updated in NPPES	December 5, 2013
Mailing address	218 E Orangeburg Ave, Modesto, CA 95350-5313