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Organization
REIMAGINE NETWORK
Active
Organization
REIMAGINE NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTIAN ERIC ERLENBUSH LCSW (SENIOR DIRECTOR - CLINICAL SERVICES)
(714) 633-7400
Entity
Organization
Contact information
Practice address
130 LAGUNA RD STE A, FULLERTON, CA 92835-3650
(714) 680-6060
Mailing address
130 LAGUNA RD STE A, FULLERTON, CA 92835-3650
(714) 680-6060
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
NULL
Other
Enumeration date
12/01/2020
Last updated
04/03/2021
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