# ON MY GRIND, RE-ENTRY SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** On My Grind
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861229585
- **Authorized official:** MR. LV THOMAS (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (323) 809-0386

## Contact information

- **Practice address:** 3780 KILROY AIRPORT WAY STE 200, LONG BEACH, CA 90806-2458
- **Practice address phone:** (323) 809-0386
- **Mailing address:** 3780 KILROY AIRPORT WAY STE 200, LONG BEACH, CA 90806-2458
- **Mailing address phone:** (323) 809-0386

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 104100000X | Social Worker | — | NULL | — |
| 104100000X | Social Worker | — | — | — |
| 251B00000X | Case Management Agency | — | NULL | Yes |
| 251K00000X | Public Health or Welfare Agency | — | NULL | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 251V00000X | Voluntary or Charitable Agency | — | NULL | — |

## Other

- **Enumeration date:** 09/17/2024
- **Last updated:** 09/17/2024