| Reach, Llc | |
|
2214 Jefferson St Baltimore MD 21205-2407 | |
| (443) 529-9083 | |
| Not Available |
| Full Name | Reach, Llc |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 2214 Jefferson St, Baltimore, Maryland |
| Authorized Official Name and Position | Ivan Forney (CO-OWNER) |
| Authorized Official Contact | 4438151171 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Reach, Llc 1 N Charles St Ste 222 Baltimore MD 21201-3710 Ph: (443) 831-1171 | Reach, Llc 2214 Jefferson St Baltimore MD 21205-2407 Ph: (443) 529-9083 |
| NPI Number | 1891407086 |
|---|---|
| Provider Enumeration Date | 12/19/2022 |
| Last Update Date | 02/27/2023 |
| Certification Date | 02/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891407086 | NPI | - | NPPES |
| 220612732 | Other | MD | BHA LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 324500000X | Substance Abuse Rehabilitation Facility | (* (Not Available)) | Primary |
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