R.E.A.C.H. INC. Comprehensive Mental Health Clinic
Community/Behavioral Health in Glendale, WI. Organization (NPI-2).
NPI number1144555152
StatusActive
Last updated in NPPESMar 27, 2012
Details
- NPI
- 1144555152
- Entity type
- Organization (NPI-2)
- Legal business name
- R.E.A.C.H. INC. Comprehensive Mental Health Clinic
- Organization subpart
- No
- Enumeration date
- Oct 8, 2009
- Last updated
- Mar 27, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | 2882 | WI | Yes |
Practice location
6310 N Port Washington RdGlendale, WI 53217-4300
Phone 414-961-1600 · Fax 414-961-1616
Mailing address
6310 N Port Washington RdGlendale, WI 53217-4300
Phone 414-961-1600 · Fax 414-961-1616
Authorized official
Roger Pumphrey
President
4149611600
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