Re-Enter, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

807245 Issued in PA

Legal business name

RE-ENTER, INC.

Practice address

3331 Powelton Ave
Philadelphia, PA 19104-2725

Phone

(215) 222-2770

Fax

(215) 222-3165

NPI assigned

Jan 16, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Vance Hudson

Title

Executive Director

Phone

(215) 850-9656

Specialties & licenses 2

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456272000000",
    "number": "1962553800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7",
            "city": "BIRDSBORO",
            "state": "PA",
            "postal_code": "195080007",
            "telephone_number": "215-222-2770",
            "fax_number": "215-222-3165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3331 POWELTON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191042725",
            "telephone_number": "215-222-2770",
            "fax_number": "215-222-3165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RE-ENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2016-02-24",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "VANCE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "215-850-9656"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "807245",
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "PA",
            "license": "807245",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Philadelphia, PA by specialty
• Community/Behavioral Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.