=====================================================
General NPI Number Information
=====================================================
NPI Number | 1811026883
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | REACH PROJECT, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/05/2007
-----------------------------------------------------
Last Update Date | 08/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7737 KERCHEVAL ST
-----------------------------------------------------
City | DETROIT
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48214-2437
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 313-924-0805
-----------------------------------------------------
Fax | 313-924-0806
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7737 KERCHEVAL ST
-----------------------------------------------------
City | DETROIT
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48214-2437
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 313-924-0805
-----------------------------------------------------
Fax | 313-924-0806
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | EXECUTIVE DIRECTOR
-----------------------------------------------------
Name | PROF. DEBORAH FRANKLIN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 313-924-0805
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 390200000X
-----------------------------------------------------
Taxonomy Name | Student in an Organized Health Care Education/Training Program
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | MI
-----------------------------------------------------