# CAROLINA THERAPY CENTER LLC

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

## Provider details

- **NPI number:** 1861441719
- **Authorized official:** MISS MARGARITA M GRISHKOFF (PRESIDENT)
- **Authorized official phone:** (704) 544-5244

## Contact information

- **Practice address:** 7215 PINEVILLE MATTHEWS RD, SUITE 300, CHARLOTTE, NC 28226-6173
- **Practice address phone:** (704) 544-5244
- **Practice address fax:** (704) 544-5224
- **Mailing address:** 7215 PINEVILLE MATTHEWS RD, SUITE 300, CHARLOTTE, NC 28226-6173
- **Mailing address phone:** (704) 544-5244
- **Mailing address fax:** (704) 544-5224

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0401X | Comprehensive Outpatient Rehabilitation Facility (CORF) | 122951 | NC | Yes |

## Other

- **Enumeration date:** 05/09/2006
- **Last updated:** 04/29/2009