Provider Demographics
NPI:1619751625
Name:WITHIN REACH COMMUNITY SERVICES
Entity Type:Organization
Organization Name:WITHIN REACH COMMUNITY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:EERICA
Authorized Official - Middle Name:MORREENE
Authorized Official - Last Name:FLIPPIN
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:919-327-0716
Mailing Address - Street 1:11221 ARBOR CREEK DR APT 438
Mailing Address - Street 2:
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23233-0206
Mailing Address - Country:US
Mailing Address - Phone:919-327-0716
Mailing Address - Fax:
Practice Address - Street 1:11221 ARBOR CREEK DR APT 438
Practice Address - Street 2:
Practice Address - City:HENRICO
Practice Address - State:VA
Practice Address - Zip Code:23233-0206
Practice Address - Country:US
Practice Address - Phone:919-327-0716
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-21
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health