Provider Type Icon

CAROLINA CENTER FOR RECOVERY NPI 1669989554


NPI Information

NPI: 1669989554
Provider Name: CAROLINA CENTER FOR RECOVERY
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 34D2142409

Address:
7349 STATESVILLE RD
CHARLOTTE, NC
ZIP 28269
Phone: (704) 844-6958
Get Directions

CAROLINA CENTER FOR RECOVERY is a substance abuse rehabilitation facility in Charlotte, NC. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. CAROLINA CENTER FOR RECOVERY NPI is 1669989554. The provider is registered as an organization entity type.

The provider's business location address is:

7349 STATESVILLE RD
CHARLOTTE, NC
ZIP 28269-702
Phone: (704) 844-6958
Fax: (704) 973-7875

The provider's authorized official is Russell Guccio .
The authorized official title is Director Of Operations and has the following contact phone number (704) 844-6958.

The CLIA number assigned to this NPI record is 34D2142409 - ancillary testing site in health care center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/2/2018 and was last updated on 4/25/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1324500000XSubstance Abuse Rehabilitation FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.