# PENNREACH

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164077681
- **Authorized official:** KRYSTAL ODELL (CEO)
- **Authorized official phone:** (212) 409-5519

## Contact information

- **Practice address:** 69 MAIN ST APT 807, FORT LEE, NJ 07024-6909
- **Practice address phone:** (215) 409-5519
- **Mailing address:** 18 S MAIN ST, ALLENTOWN, NJ 08501-1610
- **Mailing address phone:** (215) 409-5519

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 08/02/2019
- **Last updated:** 08/02/2019