Organization
THE DILWORTH CENTER FOR CHEMICAL DEPENDENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES A ODELL MSW, CCAS, CSAC (EXECUTIVE DIRECTOR)
(704) 372-6969
Entity
Organization
Contact information
Practice address
2240 PARK RD, CHARLOTTE, NC 28203-5941
(704) 372-6969
(704) 335-0176
Mailing address
2240 PARK RD, CHARLOTTE, NC 28203-5941
(704) 372-6969
(704) 335-0176
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
060-087
NC
Other
Enumeration date
12/29/2005
Last updated
10/06/2009
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