Healthcare Provider Details

I. General information

NPI: 1043363393
Provider Name (Legal Business Name): REACH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/19/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

322 GALLATIN PARK DR
BOZEMAN MT
59715-7909
US

IV. Provider business mailing address

322 GALLATIN PARK DR
BOZEMAN MT
59715-7909
US

V. Phone/Fax

Practice location:
  • Phone: 406-587-1271
  • Fax: 406-587-4112
Mailing address:
  • Phone: 406-587-1271
  • Fax: 406-587-4112

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number StateMT
# 2
Primary TaxonomyN
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number StateMT

VIII. Authorized Official

Name: ROB TALLON
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 406-587-1271