# INREACH

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194240820
- **Authorized official:** LORI GOUGEON (CEO)
- **Authorized official phone:** (704) 536-6661

## Contact information

- **Practice address:** 712 FALLS CHURCH RD, CHARLOTTE, NC 28270-2191
- **Practice address phone:** (704) 845-0688
- **Practice address fax:** (704) 536-0074
- **Mailing address:** 4014 MONROE RD STE 170, CHARLOTTE, NC 28205-0094
- **Mailing address phone:** (704) 536-6661
- **Mailing address fax:** (704) 536-0074

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |
| 320900000X | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | — | NULL | — |

## Other

- **Enumeration date:** 08/03/2017
- **Last updated:** 03/17/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | MHL-060-1285 | NC DEPARTMENT OF HEALTH AND HUMAN SERVICES | NC |