Individual provider · Type 1 NPI
Shannon Denise Reilly, CAS
Substance Abuse Rehabilitation Facility · Pollock Pines, CA
Practice location
5494 Pony Express Trail
Pollock Pines, CA 95726
Fax (530) 644-3782
Mailing address
PO Box 586
Camino, CA 95709-0586
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Abuse Rehabilitation Facility Primary | 324500000X | 324500000X (CA) |
Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
6 other providers at this address
- Progress House Inc.Substance Abuse Rehabilitation Facility Pollock Pines, CA NPI 1417112228
- Alexa Claire Fila, CASIAddiction (Substance Use Disorder) Counselor Pollock Pines, CA NPI 1770748808
- Debbie Salvino, RADT IAddiction (Substance Use Disorder) Counselor Pollock Pines, CA NPI 1659729887
- Kathleen TrosperAddiction (Substance Use Disorder) Counselor Pollock Pines, CA NPI 1922667997
- Robert John Stadelhofer, CASSpecialist Pollock Pines, CA NPI 1699899708
- Theresa Joanne Russell, CADC-11Specialist Pollock Pines, CA NPI 1255465530
About NPI 1891937306
Shannon Denise Reilly, CAS's National Provider Identifier is 1891937306, issued on Mar 30, 2009. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Pollock Pines, CA. The record was last updated on Mar 30, 2009.