Healthcare Provider Details

I. General information

NPI: 1104761683
Provider Name (Legal Business Name): THE RESOURCE ENVIRONMENT FOR UNDERPRIVILEGED GROUPS ENTERPRISE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/21/2026
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3631 WALNUT AVE
CARMICHAEL CA
95608-3051
US

IV. Provider business mailing address

PO BOX 19275
OAKLAND CA
94619-0275
US

V. Phone/Fax

Practice location:
  • Phone: 510-301-5809
  • Fax:
Mailing address:
  • Phone: 510-301-5809
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code322D00000X
TaxonomyEmotionally Disturbed Childrens' Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: JASON HENDERSON
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 510-301-5809