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Organization
REACH BACK FOR THE COMMUNITY LLC
Active
Organization
REACH BACK FOR THE COMMUNITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASMINE O'NEIL HEFFNEY (CEO)
(980) 219-1589
Entity
Organization
Contact information
Practice address
3928 FAR WEST DR, CHARLOTTE, NC 28269-1720
(980) 219-1589
Mailing address
3928 FAR WEST DR, CHARLOTTE, NC 28269-1720
(980) 219-1589
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
NULL
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
NULL
Other
Enumeration date
09/27/2022
Last updated
06/25/2024
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