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

Organizations that report the same tax identification number in the National Provider Directory.

View all 29

National Provider Directory

Tax ID family
Inreach (30 organizations share this tax ID)

Locations

801 Baxter St
Ste 404
Charlotte, NC 28202

520 Clanton Rd
Ste A
Charlotte, NC 28217

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
MHL-060-1204OtherNCNC DEPARTMENT OF HEALTH AND HUMAN SERVICES
3408799MedicaidNC

Other providers in Charlotte, NC

All providers in Charlotte, NC · Developmentally Disabled Services Day Training Agency in North Carolina

Sources for this page

Verify at the official NPI Registry.