# REIMAGINE NETWORK

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306441076
- **Authorized official:** MR. CHRISTIAN ERIC ERLENBUSH LCSW (SENIOR DIRECTOR - CLINICAL SERVICES)
- **Authorized official phone:** (714) 633-7400

## Contact information

- **Practice address:** 130 LAGUNA RD STE A, FULLERTON, CA 92835-3650
- **Practice address phone:** (714) 680-6060
- **Mailing address:** 130 LAGUNA RD STE A, FULLERTON, CA 92835-3650
- **Mailing address phone:** (714) 680-6060

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0401X | Comprehensive Outpatient Rehabilitation Facility (CORF) | — | NULL | Yes |

## Other

- **Enumeration date:** 12/01/2020
- **Last updated:** 04/03/2021