Provider Demographics
NPI:1710091624
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:MARY
Authorized Official - Middle Name:B
Authorized Official - Last Name:PERKINS
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:952-988-4177
Mailing Address - Street 1:1001 HIGHWAY 7
Mailing Address - Street 2:ROOM 217
Mailing Address - City:HOPKINS
Mailing Address - State:MN
Mailing Address - Zip Code:55305-4723
Mailing Address - Country:US
Mailing Address - Phone:952-988-4177
Mailing Address - Fax:952-988-6728
Practice Address - Street 1:1001 HIGHWAY 7
Practice Address - Street 2:ROOM 217
Practice Address - City:HOPKINS
Practice Address - State:MN
Practice Address - Zip Code:55305-4723
Practice Address - Country:US
Practice Address - Phone:952-988-4177
Practice Address - Fax:952-988-6728
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1011289-1-WS251C00000X
MN1011784-1-SILS251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN11G36WEOtherBLUE CROSS