Provider Demographics
NPI:1467606780
Name:REACHING FOR HIGHER GOALS
Entity Type:Organization
Organization Name:REACHING FOR HIGHER GOALS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:GIDNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-477-2635
Mailing Address - Street 1:PO BOX 283
Mailing Address - Street 2:
Mailing Address - City:GROVER
Mailing Address - State:NC
Mailing Address - Zip Code:28073-0283
Mailing Address - Country:US
Mailing Address - Phone:704-477-2635
Mailing Address - Fax:
Practice Address - Street 1:139 KENT DR
Practice Address - Street 2:
Practice Address - City:FOREST CITY
Practice Address - State:NC
Practice Address - Zip Code:28043-2891
Practice Address - Country:US
Practice Address - Phone:828-245-6191
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-13
Last Update Date:2008-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCMHL-080048322D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children