Organization
CHARLOTTE DETOX CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL GUCCIO (CEO)
(305) 290-0661
Entity
Organization
Contact information
Practice address
7349 STATESVILLE RD STE B, CHARLOTTE, NC 28269-3702
(866) 623-4948
Mailing address
7349 STATESVILLE RD STE B, CHARLOTTE, NC 28269-3702
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
12/11/2025
Last updated
12/11/2025
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