Organization
R.E.A.C.H. INC. COMPREHENSIVE MENTAL HEALTH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER PUMPHREY (PRESIDENT)
(414) 961-1600
Entity
Organization
Contact information
Practice address
6310 N PORT WASHINGTON RD, GLENDALE, WI 53217-4300
(414) 961-1600
(414) 961-1616
Mailing address
6310 N PORT WASHINGTON RD, GLENDALE, WI 53217-4300
(414) 961-1600
(414) 961-1616
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2882
WI
Other
Enumeration date
10/08/2009
Last updated
03/27/2012
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