Organization
THE REACH FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD LARK (PROVIDER)
(313) 608-1324
Entity
Organization
Contact information
Practice address
1793 CHARTER ST, LINCOLN PARK, MI 48146-1387
(313) 381-5072
Mailing address
1793 CHARTER ST, LINCOLN PARK, MI 48146-1387
(313) 381-5072
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/12/2026
Last updated
02/12/2026
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