Organization
INREACH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI GOUGEON (CEO)
(704) 536-6661
Entity
Organization
Contact information
Practice address
146 WINCHESTER AVE, MONROE, NC 28110-3161
(704) 536-6661
(704) 296-9639
Mailing address
4014 MONROE RD STE 170, CHARLOTTE, NC 28205-0094
(704) 536-6661
(704) 536-0074
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
07/05/2017
Last updated
03/27/2025
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