Organization
REYNOLD'S INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS DENAY M REYNOLDS MASTER OF EDUCATION (EXECUTIVE DIRECTOR)
(618) 531-9003
Entity
Organization
Contact information
Practice address
7460 CORNELL AVE, SAINT LOUIS, MO 63130
(314) 727-8111
Mailing address
7460 CORNELL, SAINT LOUIS, MO 63130
(314) 727-8111
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/30/2008
Last updated
04/30/2008
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