Provider Demographics
NPI:1033365192
Name:REACH EMPLOYEE ASSISTANCE PROGRAM
Entity Type:Organization
Organization Name:REACH EMPLOYEE ASSISTANCE PROGRAM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SWAN
Authorized Official - Suffix:
Authorized Official - Credentials:CEAP
Authorized Official - Phone:800-950-3434
Mailing Address - Street 1:5372 FALLOWATER LN
Mailing Address - Street 2:SUITE B
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24018-0907
Mailing Address - Country:US
Mailing Address - Phone:800-950-3434
Mailing Address - Fax:540-776-5725
Practice Address - Street 1:5372 FALLOWATER LN
Practice Address - Street 2:SUITE B
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24018-0907
Practice Address - Country:US
Practice Address - Phone:800-950-3434
Practice Address - Fax:540-776-5725
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DIAMOND HEALTHCARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-08-08
Last Update Date:2008-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health