Provider Demographics
NPI:1861010522
Name:REALITY COMMUNITY HEALTH SERVICES INC.
Entity Type:Organization
Organization Name:REALITY COMMUNITY HEALTH SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:VANDILLA
Authorized Official - Middle Name:PATRICIA
Authorized Official - Last Name:MCCLENDON
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:305-502-0340
Mailing Address - Street 1:7900 NW 27TH AVE UNIT B3
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33147-4910
Mailing Address - Country:US
Mailing Address - Phone:305-502-0340
Mailing Address - Fax:
Practice Address - Street 1:7900 NW 27TH AVE UNIT B3
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33147-4910
Practice Address - Country:US
Practice Address - Phone:305-502-0340
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-09
Last Update Date:2022-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health