Organization
REIMAGINE NETWORK
Active
Other names
Reimagine Network
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTIAN ERIC ERLENBUSH LCSW (SENIOR DIRECTOR - CLINICAL SERVICES)
(949) 498-7671
Entity
Organization
Contact information
Practice address
2021 CALLE FRONTERA, SAN CLEMENTE, CA 92673-5645
(949) 498-7671
(949) 361-3361
Mailing address
2021 CALLE FRONTERA, SAN CLEMENTE, CA 92673-5645
(949) 498-7671
(949) 361-3361
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
060000022
CA
261QH0100X
Health Service Clinic/Center
060000022
CA
Other
Enumeration date
11/30/2006
Last updated
04/03/2021
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