Provider Demographics
NPI:1043363393
Name:REACH, INC.
Entity type:Organization
Organization Name:REACH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ROB
Authorized Official - Middle Name:
Authorized Official - Last Name:TALLON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-587-1271
Mailing Address - Street 1:322 GALLATIN PARK DR
Mailing Address - Street 2:
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59715-7909
Mailing Address - Country:US
Mailing Address - Phone:406-587-1271
Mailing Address - Fax:406-587-4112
Practice Address - Street 1:322 GALLATIN PARK DR
Practice Address - Street 2:
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59715-7909
Practice Address - Country:US
Practice Address - Phone:406-587-1271
Practice Address - Fax:406-587-4112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT251C00000X, 320600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered251C00000XAgenciesDay Training, Developmentally Disabled Services
Not Answered320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities