Organization
COMMUNITY INTERGRATION, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMAAL REED (CEO)
(314) 565-6486
Entity
Organization
Contact information
Practice address
1480 WOODSTONE DR STE 103, SAINT CHARLES, MO 63304-6872
(314) 565-6486
Mailing address
1480 WOODSTONE DR STE 103, SAINT CHARLES, MO 63304-6872
(314) 565-6486
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
10/06/2023
Last updated
10/06/2023
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