Pure Living Recovery and Rehabilition Center
NPI #1992556773 in East Saint Louis, Illinois
Provider Information
- NPI Number
- 1992556773
- Entity Type
- Organization
- Organization Name
- Pure Living Recovery and Rehabilition Center
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- PURE LIVING RECOVERY AND REHABILITATION CENTER
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Mar 29, 2024
- Last Updated
- Mar 29, 2024
Practice Location
- Address
- 5601 STATE ST
- City
- East Saint Louis
- State
- Illinois
- ZIP Code
- 62203-1346
- Phone
- (314) 701-0405
Authorized Official
- Name
- REGINALD DEMARIAL SMITH
- Title
- EXECUTIVE DIRECTOR
- Phone
- (314) 701-0405
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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