Healthcare Provider Details

I. General information

NPI: 1083541783
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: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8593 SUNSET AVE
FAIR OAKS CA
95628-5316
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