Organization
REACH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
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
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
01/03/2020
Last updated
06/17/2020
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