Provider Demographics
NPI:1790824472
Name:REALITY, INC.
Entity Type:Organization
Organization Name:REALITY, INC.
Other - Org Name:REALITYTREATMENT CENTERS
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:KENNEDY
Authorized Official - Last Name:TYSON
Authorized Official - Suffix:
Authorized Official - Credentials:MS, RN, CS-P
Authorized Official - Phone:301-490-5551
Mailing Address - Street 1:419 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707-4127
Mailing Address - Country:US
Mailing Address - Phone:301-490-5551
Mailing Address - Fax:301-490-2517
Practice Address - Street 1:419 MAIN ST
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-4127
Practice Address - Country:US
Practice Address - Phone:301-490-5551
Practice Address - Fax:301-490-2517
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD903035324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility