| R.e.a.c.h. Inc. Comprehensive Mental Health Clinic | |
|
6310 N Port Washington Rd Glendale WI 53217-4300 | |
| (414) 961-1600 | |
| (414) 961-1616 |
| Full Name | R.e.a.c.h. Inc. Comprehensive Mental Health Clinic |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6310 N Port Washington Rd, Glendale, Wisconsin |
| Authorized Official Name and Position | Roger Pumphrey (PRESIDENT) |
| Authorized Official Contact | 4149611600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| R.e.a.c.h. Inc. Comprehensive Mental Health Clinic 6310 N Port Washington Rd Glendale WI 53217-4300 Ph: (414) 961-1600 | R.e.a.c.h. Inc. Comprehensive Mental Health Clinic 6310 N Port Washington Rd Glendale WI 53217-4300 Ph: (414) 961-1600 |
| NPI Number | 1144555152 |
|---|---|
| Provider Enumeration Date | 10/08/2009 |
| Last Update Date | 03/27/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144555152 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 2882 (Wisconsin) | Primary |
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