Provider Demographics
NPI:1467898106
Name:RESET YOUTH TREATMENT ENTERPRISES
Entity Type:Organization
Organization Name:RESET YOUTH TREATMENT ENTERPRISES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:RAYNOUR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-580-7821
Mailing Address - Street 1:3725 MARYSVILLE BOULEVARD, SUITE 337
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95838
Mailing Address - Country:US
Mailing Address - Phone:916-271-5464
Mailing Address - Fax:
Practice Address - Street 1:3725 MARYSVILLE BOULEVARD, SUITE 337
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95838
Practice Address - Country:US
Practice Address - Phone:916-271-5464
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-21
Last Update Date:2013-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health