Organization
REIMAGINE NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTIAN ERIC ERLENBUSH LCSW (SENIOR DIRECTOR - CLINICAL SERVICES)
(714) 633-7400
Entity
Organization
Contact information
Practice address
1601 E SAINT ANDREW PL, SANTA ANA, CA 92705-4940
(714) 633-7400
Mailing address
1601 E SAINT ANDREW PL, SANTA ANA, CA 92705-4940
(714) 633-7400
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Enumeration date
12/01/2020
Last updated
04/03/2021
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