Organization
REACH FOR YOUR POTENTIAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACI HUMISTON (EXECUTIVE DIRECTOR)
(319) 354-2983
Entity
Organization
Contact information
Practice address
1705 S 1ST AVE, SUITE I, IOWA CITY, IA 52240-6006
(319) 354-2983
(319) 354-3221
Mailing address
1705 S 1ST AVE, SUITE I, IOWA CITY, IA 52240-6006
(319) 354-2983
(319) 354-3221
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0100727
—
IA
Enumeration date
01/04/2007
Last updated
01/06/2023
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