Organization
REACHING YOUR GOALS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. REBA M ROYSTER BS QMHP (DIRECTOR/PRESIDENT)
(919) 880-5451
Entity
Organization
Contact information
Practice address
7625 MINE VALLEY RD, RALEIGH, NC 27615-6017
(919) 500-3464
(919) 800-3971
Mailing address
1220 NOWELL RD, RALEIGH, NC 27607-5134
(919) 500-3464
(919) 800-3971
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL-092-603
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6603829
—
NC
Enumeration date
09/26/2006
Last updated
12/16/2013
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