Organization Name: | REACH PROJECT |
NPI Number: | 1144583667 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICKIE ANGELO MARCHETTI (EXECUTIVE DIRECTOR) |
Mailing Address: | 3385 Main St Suite B Oakley |
State: | CA US |
Postal Code: | 945616017 |
Phone Number: | 9256792504 |
Fax Number: | 9257542002 |
NPI Enumeration Date: | 06/19/2012 |
NPI Last Update Date: | 06/29/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 070753 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |