Far Reach Foundation

NPI #1326567512 in Lewis Center, Ohio

Provider Information

NPI Number: 1326567512
Entity Type: Organization
Organization Name: Far Reach Foundation
Primary Specialty: General Practice
Enumeration Date: Sep 19, 2017
Last Updated: Sep 19, 2017

Practice Location

Address: 620 BEAR RUN LN STE B
City: Lewis Center
State: Ohio
ZIP Code: 43035-8299
Phone: (866) 624-7001

Authorized Official

Name: BRIAN DEAN
Title: CLO
Phone: (614) 949-0287

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine - Addiction Medicine — Addiction Medicine	207QA0401X
Internal Medicine - Addiction Medicine — Addiction Medicine	207RA0401X
Psychiatry & Neurology - Addiction Medicine — Addiction Medicine	2084A0401X
General Practice	208D00000X	Primary

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