| NPI | 1851414189 |
|---|---|
| Doing Business As | COMMUNITY RE-ENTRY PROGRAM, ILS |
| Entity Type | Organization |
| Authorized Contact | HOLLY WHITE Executive Director 209-946-2132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2016-06-23 |