Provider Demographics
NPI:1336630029
Name:REASSEMBLE EDUCATION & TRAINING,INC
Entity Type:Organization
Organization Name:REASSEMBLE EDUCATION & TRAINING,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:CARMEN
Authorized Official - Middle Name:A
Authorized Official - Last Name:MEEKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-296-1069
Mailing Address - Street 1:644 E 79TH ST STE 15
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60619-3037
Mailing Address - Country:US
Mailing Address - Phone:312-296-1069
Mailing Address - Fax:773-633-8910
Practice Address - Street 1:644 E 79TH ST STE 15
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60619-3037
Practice Address - Country:US
Practice Address - Phone:312-296-1069
Practice Address - Fax:773-633-8910
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-29
Last Update Date:2018-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health
No252Y00000XAgenciesEarly Intervention Provider Agency
No324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility