Healthcare Provider Details
I. General information
NPI: 1114863065
Provider Name (Legal Business Name): TO REACH OUT NOW INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/24/2026
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
26408 OAKLAND ST
INKSTER MI
48141-1985
US
IV. Provider business mailing address
15055 ASHTON RD
DETROIT MI
48223-2348
US
V. Phone/Fax
- Phone: 313-722-4056
- Fax:
- Phone: 313-409-6822
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 320600000X |
| Taxonomy | Intellectual and/or Developmental Disabilities Residential Treatment Facility |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 320800000X |
| Taxonomy | Mental Illness Community Based Residential Treatment Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
BEVERLY
H
COLLINS
Title or Position: PROVIDER
Credential:
Phone: 313-409-6822