Reach For Your Potential, Inc | |
1705 S 1st Ave Suite I Iowa City IA 52240-6006 | |
(319) 354-2983 | |
(319) 354-3221 |
Full Name | Reach For Your Potential, Inc |
---|---|
Speciality | Day Training, Developmentally Disabled Services |
Location | 1705 S 1st Ave, Iowa City, Iowa |
Authorized Official Name and Position | Staci Humiston (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 3193542983 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Reach For Your Potential, Inc 1705 S 1st Ave Suite I Iowa City IA 52240-6006 Ph: (319) 354-2983 | Reach For Your Potential, Inc 1705 S 1st Ave Suite I Iowa City IA 52240-6006 Ph: (319) 354-2983 |
NPI Number | 1063569762 |
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Provider Enumeration Date | 01/04/2007 |
Last Update Date | 01/06/2023 |
Certification Date | 01/06/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063569762 | NPI | - | NPPES |
0100727 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
251C00000X | Day Training, Developmentally Disabled Services | (* (Not Available)) | Primary |
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