Organization
REACH LLC
Active
Other names
REACH Behavorial Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IVAN A. FORNEY (CEO)
(443) 815-1171
Entity
Organization
Contact information
Practice address
1 N CHARLES ST STE 222, BALTIMORE, MD 21201-3710
(410) 449-1199
(443) 769-1567
Mailing address
1 N CHARLES ST STE 222, BALTIMORE, MD 21201-3710
(410) 449-1199
(443) 769-1567
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235697293
—
MD
Enumeration date
03/08/2019
Last updated
06/17/2020
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