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REACHING YOUR GOALS INC NPI 1881795169


NPI Information

NPI: 1881795169
Provider Name: REACHING YOUR GOALS INC
Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization
Address:
7625 MINE VALLEY RD
RALEIGH, NC
ZIP 27615
Phone: (919) 500-3464
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REACHING YOUR GOALS INC is a residential treatment facility emotionally disturbed children in Raleigh, NC. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. REACHING YOUR GOALS INC NPI is 1881795169. The provider is registered as an organization entity type.

The provider's business location address is:

7625 MINE VALLEY RD
RALEIGH, NC
ZIP 27615-017
Phone: (919) 500-3464
Fax: (919) 800-3971

The provider's authorized official is Reba M Royster .
The authorized official title is Director/president and has the following contact phone number (919) 880-5451.

The enumeration date for this NPI number is 9/26/2006 and was last updated on 12/16/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenMHL-092-603NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16603829MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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