Provider Demographics
NPI:1457123077
Name:REUNION INC
Entity Type:Organization
Organization Name:REUNION INC
Other - Org Name:REUNION MINISTRIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:WALDON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:925-324-6030
Mailing Address - Street 1:17664 GREENRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:HIDDEN VALLEY LAKE
Mailing Address - State:CA
Mailing Address - Zip Code:95467-8275
Mailing Address - Country:US
Mailing Address - Phone:925-324-6030
Mailing Address - Fax:
Practice Address - Street 1:17664 GREENRIDGE RD
Practice Address - Street 2:
Practice Address - City:HIDDEN VALLEY LAKE
Practice Address - State:CA
Practice Address - Zip Code:95467-8275
Practice Address - Country:US
Practice Address - Phone:925-324-6030
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-26
Last Update Date:2023-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty