Inreach
Organization Active NPI Developmentally Disabled Services Day Training Agency · Charlotte, NC
NPI 1891165684 · NPPES record last updated Mar 27, 2025
Key facts
- NPI
- 1891165684
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Developmentally Disabled Services Day Training Agency 251C00000X
- License
- MHL-060-1204 (NC)
- Legal business name
- INREACH
- Practice address
- 520 Clanton Rd Ste a
Charlotte, NC 28217-1391 - Phone
- (704) 536-6661
- NPI assigned
- Oct 6, 2015
- Organization subpart
- No
Authorized official
- Name
- Lori A Gougeon, BS
- Title
- President
- Phone
- (704) 536-6661
Corporate family (same tax ID) 29
National Provider Directory
- Tax ID family
- Inreach
Locations
801 Baxter St
Ste 404
Charlotte, NC 28202
520 Clanton Rd
Ste A
Charlotte, NC 28217
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | MHL-060-1204 | NC | Yes |
| Community/Behavioral Health Agency | 251S00000X |
Addresses
Primary practice location
520 Clanton Rd Ste a
Charlotte, NC 28217-1391
Mailing address
4014 Monroe Rd Ste 170
Charlotte, NC 28205-0094
Phone (704) 536-6661
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MHL-060-1204 | Other | NC | NC DEPARTMENT OF HEALTH AND HUMAN SERVICES |
| 3408799 | Medicaid | NC |
Other providers in Charlotte, NC
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All providers in Charlotte, NC · Developmentally Disabled Services Day Training Agency in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.