Provider Demographics
NPI:1871374728
Name:HERS- HELPING EMPOWER REENTRY SERVICES
Entity type:Organization
Organization Name:HERS- HELPING EMPOWER REENTRY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MONIQUE
Authorized Official - Middle Name:ANTOINETTE
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:831-261-1661
Mailing Address - Street 1:266 RESERVATION ROAD STE F
Mailing Address - Street 2:PMB 369
Mailing Address - City:MARINA
Mailing Address - State:CA
Mailing Address - Zip Code:93933
Mailing Address - Country:US
Mailing Address - Phone:831-215-6655
Mailing Address - Fax:
Practice Address - Street 1:10200 SEYMOUR ST
Practice Address - Street 2:
Practice Address - City:CASTROVILLE
Practice Address - State:CA
Practice Address - Zip Code:95012-2605
Practice Address - Country:US
Practice Address - Phone:831-215-6655
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-06
Last Update Date:2023-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management