Provider Demographics
NPI:1154219681
Name:REGAIN HOPE DETOX AND RECOVERY CENTER INC
Entity type:Organization
Organization Name:REGAIN HOPE DETOX AND RECOVERY CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MILEIDYS
Authorized Official - Middle Name:
Authorized Official - Last Name:GOMEZ GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-613-2642
Mailing Address - Street 1:PO BOX 6631
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91510-6631
Mailing Address - Country:US
Mailing Address - Phone:305-613-2642
Mailing Address - Fax:409-231-5016
Practice Address - Street 1:1134 N LIMA ST
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91505-2533
Practice Address - Country:US
Practice Address - Phone:305-613-2642
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-24
Last Update Date:2025-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility