Organization
CHARLOTTE DETOX CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRIS DOYLE (CEO)
(813) 610-3163
Entity
Organization
Contact information
Practice address
7349 STATESVILLE RD STE B, CHARLOTTE, NC 28269-3702
(866) 623-4948
Mailing address
28705 BENNINGTON DR, WESLEY CHAPEL, FL 33544-2831
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
845439003
MEDICAL DETOXIFICATION SUBSTANCE ABUSE
FL
Enumeration date
04/11/2022
Last updated
02/04/2026
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