Organization
REFORM AND REENTRY .ORGF
Active
Other names
Reform and Reentry .Org
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NAOMIS ALEXANDER WARD III PSS (PRESIDENT)
(623) 284-9662
Entity
Organization
Contact information
Practice address
6802 N 67TH AVE APT 27204, GLENDALE, AZ 85301-9014
(623) 284-9662
Mailing address
6802 N 67TH AVE APT 27204, GLENDALE, AZ 85301-9014
(623) 284-9662
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
02/25/2025
Last updated
03/05/2025
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