# REACH BACK FOR THE COMMUNITY LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1336863117
- **Authorized official:** JASMINE O'NEIL HEFFNEY (CEO)
- **Authorized official phone:** (980) 219-1589

## Contact information

- **Practice address:** 3928 FAR WEST DR, CHARLOTTE, NC 28269-1720
- **Practice address phone:** (980) 219-1589
- **Mailing address:** 3928 FAR WEST DR, CHARLOTTE, NC 28269-1720
- **Mailing address phone:** (980) 219-1589

## 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:** 09/27/2022
- **Last updated:** 06/25/2024