DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: CHARLOTTE DETOX CENTER, LLC

MEDICARE: CHARLOTTE DETOX CENTER, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center

General Provider Information

NPI Number : 1346104544
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHARLOTTE DETOX CENTER, LLC
Provider Business Mailing Address
First Line : 7349 STATESVILLE RD STE B
Second Line :
City : CHARLOTTE
State : NC
Zip : 28269-3702
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7349 STATESVILLE RD STE B
Second Line :
City : CHARLOTTE
State : NC
Zip : 28269-3702
Country : US
Telephone Number : 866-623-4948
Fax Number :
Authorized Official
Title or Position : CEO
Name : RUSSELL GUCCIO
Credential :
Telephone Number : 305-290-0661
Provider Enumeration Date : 12/11/2025
Last Update Date : 12/11/2025

Similar Medicare Providers

1306667480 — GABRIELLA COMUNALE DECOSTE PA-C
Practice Location Address:
7349 STATESVILLE RD
CHARLOTTE, NC
28269-3702
Practice Phone: 866-242-3814
Practice Fax:
1669989554 — CAROLINA CENTER FOR RECOVERY
Practice Location Address:
7349 STATESVILLE RD
CHARLOTTE, NC
28269-3702
Practice Phone: 704-844-6958
Practice Fax: 704-973-7875
1215545769 — JASON LEONARD SCIANNO LCSW, LCAS
Practice Location Address:
7349 STATESVILLE RD
CHARLOTTE, NC
28269-3702
Practice Phone: 646-734-6924
Practice Fax:
1124789185 — MRS. JOELLEN ESTELLE BRYSON CADC
Practice Location Address:
7349 STATESVILLE RD
CHARLOTTE, NC
28269-3702
Practice Phone: 866-966-1168
Practice Fax:
1215679121 — CHARLOTTE DETOX CENTER, LLC
Practice Location Address:
7349 STATESVILLE RD STE B
CHARLOTTE, NC
28269-3702
Practice Phone: 866-623-4948
Practice Fax:
1366175861 — CAITLIN SCAGNELLI LCASA
Practice Location Address:
7349 STATESVILLE RD
CHARLOTTE, NC
28269-3702
Practice Phone: 980-428-9634
Practice Fax:

Directions to “CHARLOTTE DETOX CENTER, LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.