Provider Demographics
NPI:1740607514
Name:REACHING HOPE
Entity Type:Organization
Organization Name:REACHING HOPE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF CHILD PSYCHOLOGICAL SVS
Authorized Official - Prefix:DR
Authorized Official - First Name:AMBRA
Authorized Official - Middle Name:
Authorized Official - Last Name:BORN
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:720-347-8769
Mailing Address - Street 1:13659 E 104TH AVE UNIT 550
Mailing Address - Street 2:
Mailing Address - City:COMMERCE CITY
Mailing Address - State:CO
Mailing Address - Zip Code:80022-9435
Mailing Address - Country:US
Mailing Address - Phone:720-347-8769
Mailing Address - Fax:
Practice Address - Street 1:13659 E 104TH AVE UNIT 550
Practice Address - Street 2:
Practice Address - City:COMMERCE CITY
Practice Address - State:CO
Practice Address - Zip Code:80022-9435
Practice Address - Country:US
Practice Address - Phone:720-347-8769
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-18
Last Update Date:2014-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health