Organization
UNC ADDICTION DETOX UNIT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHARISSE CARUTH MSW (CLINICAL INSTRUCTOR)
(984) 974-4861
Entity
Organization
Contact information
Practice address
107 SUNNYBROOK RD, RALEIGH, NC 27610-1827
(984) 974-4861
Mailing address
107 SUNNYBROOK RD, RALEIGH, NC 27610-1827
(984) 974-4861
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
07/31/2015
Last updated
07/31/2015
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