Healthcare Provider Details

I. General information

NPI: 1487435491
Provider Name (Legal Business Name): COMMUNITY INTERGRATION, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2023
Last Update Date: 10/06/2023
Certification Date: 10/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1480 WOODSTONE DR STE 103
SAINT CHARLES MO
63304-6872
US

IV. Provider business mailing address

1480 WOODSTONE DR STE 103
SAINT CHARLES MO
63304-6872
US

V. Phone/Fax

Practice location:
  • Phone: 314-565-6486
  • Fax:
Mailing address:
  • Phone: 314-565-6486
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: JAMAAL REED
Title or Position: CEO
Credential:
Phone: 314-565-6486