# REGENERATION RECOVERY AND REENTRY SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Regeneration Recovery and Reentry Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972373793
- **Authorized official:** MS. TAMISHA MANN SOCIAL WORKER (CEO)
- **Authorized official phone:** (424) 420-1441

## Contact information

- **Practice address:** 10124 S BROADWAY STE 200B, LOS ANGELES, CA 90003-4561
- **Practice address phone:** (424) 420-1441
- **Mailing address:** 10124 S BROADWAY STE 200B, LOS ANGELES, CA 90003-4561
- **Mailing address phone:** (424) 420-1441

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |
| 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