# PENNREACH

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cristal Wagner, Kristin Everett
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710364385
- **Authorized official:** KRYSTAL ODELL MED (CEO)
- **Authorized official phone:** (215) 409-5519

## Contact information

- **Practice address:** 18 S MAIN ST, ALLENTOWN, NJ 08501-1610
- **Practice address phone:** (267) 559-1152
- **Mailing address:** 18 S MAIN ST, ALLENTOWN, NJ 08501-1610
- **Mailing address phone:** (215) 409-5519
- **Mailing address fax:** (609) 259-4121

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171W00000X | Contractor | — | NULL | — |
| 171W00000X | Contractor | — | — | — |
| 251B00000X | Case Management Agency | — | NULL | Yes |
| 251C00000X | Developmentally Disabled Services Day Training Agency | — | NULL | — |
| 320800000X | Mental Illness Community Based Residential Treatment Facility | — | NULL | — |
| 320900000X | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | — | NULL | — |

## Other

- **Enumeration date:** 05/02/2015
- **Last updated:** 10/17/2025