# INREACH

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Stewart Street Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336766583
- **Authorized official:** MRS. LORI GOUGEON (PRESIDENT CEO)
- **Authorized official phone:** (704) 536-6661

## Contact information

- **Practice address:** 301 S STEWART ST, WINGATE, NC 28174-7780
- **Practice address phone:** (704) 536-6661
- **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 | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 07/02/2020
- **Last updated:** 03/17/2025