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Organization
REGENERATION RECOVERY AND REENTRY SERVICES
Active
Organization
REGENERATION RECOVERY AND REENTRY SERVICES
Active
Other names
Regeneration Recovery and Reentry Services
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAMISHA MANN SOCIAL WORKER (CEO)
(424) 420-1441
Entity
Organization
Contact information
Practice address
10124 S BROADWAY STE 200B, LOS ANGELES, CA 90003-4561
(424) 420-1441
Mailing address
10124 S BROADWAY STE 200B, LOS ANGELES, CA 90003-4561
(424) 420-1441
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
NULL
251J00000X
Nursing Care Agency
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
261QM0850X
Adult Mental Health Clinic/Center
—
NULL
Other
Enumeration date
01/03/2024
Last updated
01/03/2024
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