Provider Demographics
NPI:1528399797
Name:R.E.A.C.H.E INC
Entity Type:Organization
Organization Name:R.E.A.C.H.E INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHEIF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:TYWANN
Authorized Official - Middle Name:
Authorized Official - Last Name:MCKOY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-456-7359
Mailing Address - Street 1:P.O. BOX 73
Mailing Address - Street 2:
Mailing Address - City:RANDALLSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21244-1381
Mailing Address - Country:US
Mailing Address - Phone:410-456-7359
Mailing Address - Fax:410-655-2492
Practice Address - Street 1:3 GREENBRUSH CT
Practice Address - Street 2:
Practice Address - City:WINDSOR MILL
Practice Address - State:MD
Practice Address - Zip Code:21244-1381
Practice Address - Country:US
Practice Address - Phone:410-456-7359
Practice Address - Fax:410-655-2492
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-27
Last Update Date:2010-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD251B00000X251B00000X, 251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management