| Organization Name: | U-REAACH, LLC |
| NPI Number: | 1184082604 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAMIEN EDWARD JOHNSON (OWNER) |
| Mailing Address: | 104 Red Bluff Street Clio |
| State: | SC US |
| Postal Code: | 295254722 |
| Phone Number: | 8435860108 |
| Fax Number: | 8435860108 |
| NPI Enumeration Date: | 01/29/2016 |
| NPI Last Update Date: | 01/29/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 1411038 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | SC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |