Organization
REACH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IVAN FORNEY (CO OWNER)
(443) 529-9083
Entity
Organization
Contact information
Practice address
511 N COLLINGTON AVE, BALTIMORE, MD 21205-2306
(443) 529-9083
Mailing address
1 N CHARLES ST STE 222, BALTIMORE, MD 21201-3710
(443) 529-9083
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
12/19/2022
Last updated
12/19/2022
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