Organization
REENTRY CORPORATION OF AMERICA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. REGINALD DUVOR STEWMAN (PRESIDENT)
(225) 247-2499
Entity
Organization
Contact information
Practice address
260 PEACHTREE ST NW, ATLANTA, GA 30303-1202
(225) 247-2499
(504) 595-5626
Mailing address
12379 LEGACY HILLS DR, GEISMAR, LA 70734-3164
(504) 595-5015
(504) 595-5626
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
02/25/2010
Last updated
02/25/2010
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