Organization
CAROLINA OUTPATIENT DETOX, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON ERB (MANAGER)
(859) 304-4047
Entity
Organization
Contact information
Practice address
1117 E MOREHEAD ST, CHARLOTTE, NC 28204-2895
(859) 304-4047
Mailing address
1117 E MOREHEAD ST STE 100, CHARLOTTE, NC 28204-2870
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
11/12/2024
Last updated
07/07/2026
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