Organization
RESOURCES FOR EDUCATION, ADAPTATION, CHANGE, AND HEALTH, INC.
Active
Other names
REACH of Louisville, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT JOHN ILLBACK PSYD (CEO)
(502) 585-1911
Entity
Organization
Contact information
Practice address
501 PARK AVE, LOUISVILLE, KY 40208-2318
(502) 585-1911
(501) 589-1582
Mailing address
501 PARK AVE, LOUISVILLE, KY 40208-2318
(502) 585-1911
(501) 589-1582
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
KY
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
KY
253J00000X
Foster Care Agency
500165
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
29101953
—
KY
05
—
33001108
—
KY
Enumeration date
12/26/2007
Last updated
05/20/2015
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