Organization
REACH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD FAGUNDES (EXECUTIVE DIRECTOR)
(907) 586-8228
Entity
Organization
Contact information
Practice address
213 3RD ST, JUNEAU, AK 99801-1220
(907) 586-8228
(907) 586-8226
Mailing address
213 3RD ST, JUNEAU, AK 99801-1220
(907) 586-8228
(907) 586-8226
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
CMG127
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CMG127
—
AK
Enumeration date
03/19/2007
Last updated
08/22/2020
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