Healthcare Provider Details

I. General information

NPI: 1750670998
Provider Name (Legal Business Name): REGIONAL EMPLOYEE ASSISTANCE PROGRAM INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2011
Last Update Date: 03/28/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

403 W WALLACE ST
SAN SABA TX
76877-4433
US

IV. Provider business mailing address

PO BOX 8691
BELFAST ME
04915-8691
US

V. Phone/Fax

Practice location:
  • Phone: 325-372-5701
  • Fax: 325-372-3249
Mailing address:
  • Phone: 325-372-5701
  • Fax: 325-372-3249

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DEBBIE BREWER
Title or Position: DIRECTOR
Credential:
Phone: 615-465-7626