Organization
PURE LIVING RECOVERY AND REHABILITION CENTER
Active
Parent organization
PURE LIVING RECOVERY AND REHABILITATION CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
PURE LIVING RECOVERY AND REHABILITATION CENTER
Authorized official
REGINALD DEMARIAL SMITH (EXECUTIVE DIRECTOR)
(314) 701-0405
Entity
Organization
Contact information
Practice address
5601 STATE ST, EAST SAINT LOUIS, IL 62203-1346
(314) 701-0405
Mailing address
5601 STATE ST, EAST SAINT LOUIS, IL 62203-1346
(314) 701-0405
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/29/2024
Last updated
03/29/2024
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