Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carolina Outpatient Detox, LLC

Organization Substance Use Disorder Rehabilitation Clinic/Center · NPI 1710701149

Carolina Outpatient Detox, LLC is a Substance Use Disorder Rehabilitation Clinic/Center in Charlotte, North Carolina. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1117 E Morehead St
Charlotte, NC 28204-2895
Phone: (859) 304-4047
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Use Disorder Rehabilitation Clinic/Center (primary) Taxonomy 261QR0405X
Substance Abuse Rehabilitation Facility Taxonomy 324500000X

Record details

NPI number1710701149
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shannon Erb — Manager · (859) 304-4047
NPI enumeratedNovember 12, 2024
Last updated in NPPESJuly 7, 2026
Certification dateJuly 7, 2026
Mailing address1117 E Morehead St Ste 100, Charlotte, NC 28204-2870

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