Provider Demographics
NPI:1285645325
Name:REACH FOR RESOURCES, INC.
Entity Type:Organization
Organization Name:REACH FOR RESOURCES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KATE
Authorized Official - Middle Name:L
Authorized Official - Last Name:BOTTIGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-200-5746
Mailing Address - Street 1:5900 GREEN OAK DRIVE
Mailing Address - Street 2:SUITE 303
Mailing Address - City:MINNETONKA
Mailing Address - State:MN
Mailing Address - Zip Code:55343
Mailing Address - Country:US
Mailing Address - Phone:952-200-3030
Mailing Address - Fax:952-229-4468
Practice Address - Street 1:5900 GREEN OAK DRIVE
Practice Address - Street 2:SUITE 303
Practice Address - City:MINNETONKA
Practice Address - State:MN
Practice Address - Zip Code:55343
Practice Address - Country:US
Practice Address - Phone:952-200-3030
Practice Address - Fax:952-229-4468
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-11
Last Update Date:2019-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNLP3666103T00000X
MN16803104100000X
MN04002104100000X
251B00000X, 261QD1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty
No251B00000XAgenciesCase Management
No261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental DisabilitiesGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN922017800Medicaid
MN11G36WEOtherBLUE CROSS
MN119317100Medicaid