Organization
REIMAGINE NETWORK
Active
Organization
REIMAGINE NETWORK
Active
Other names
Reimagine Network
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SOFIA CELESTINA MARTINEZ LCSW (CHIEF OF SERVICES)
(714) 680-6060
Entity
Organization
Contact information
Practice address
130 LAGUNA RD, FULLERTON, CA 92835-3614
(714) 680-6060
(714) 633-7400
Mailing address
130 LAGUNA RD, FULLERTON, CA 92835-3614
(714) 680-6060
(714) 633-7400
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
261Q00000X
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ADU70114F
—
CA
Enumeration date
02/21/2007
Last updated
04/03/2021
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