MEDICARE: THE DILWORTH CENTER FOR CHEMICAL DEPENDENCY

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
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	060-087	NC

General Provider Information

NPI Number	:	1770560732
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE DILWORTH CENTER FOR CHEMICAL DEPENDENCY

Provider Business Mailing Address
First Line	:	2240 PARK RD
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28203-5941
Country	:	US
Telephone Number	:	704-372-6969
Fax Number	:	704-335-0176

Provider Business Practice Location Address
First Line	:	2240 PARK RD
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28203-5941
Country	:	US
Telephone Number	:	704-372-6969
Fax Number	:	704-335-0176

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MR. CHARLES A ODELL
Credential	:	MSW, CCAS, CSAC
Telephone Number	:	704-372-6969

Provider Enumeration Date	:	12/29/2005
Last Update Date	:	10/06/2009

Similar Medicare Providers

1316497795 — THE DILWORTH CENTER FOR CHEMICAL DEPENDENCY
Practice Location Address:

2240 PARK RD
CHARLOTTE, NC
28203-5941

Practice Phone: 704-372-6969
Practice Fax: 704-335-0176

1154980548 — MRS. TAMMY ASHLYN HANSON LCSW, MAC, LCAS, CCS
Practice Location Address:

2240 PARK RD
CHARLOTTE, NC
28203-5941

Practice Phone: 704-372-6969
Practice Fax: 704-335-0176

1336459148 — CHERIKA SHANTELL BODRICK
Practice Location Address:

5941 PROVIDENCE RD , APT 4
CHARLOTTE, NC
28226-6708

Practice Phone: 704-905-3346
Practice Fax:

1871116335 — KIMBERLY JAMES-WILLIAMS LCSW
Practice Location Address:

5941 AMITY SPRINGS DR
CHARLOTTE, NC
28212-2608

Practice Phone: 248-850-6043
Practice Fax:

1841962602 — THERAPY GROUP OF CHARLOTTE LLC
Practice Location Address:

125 REMOUNT RD STE C1
CHARLOTTE, NC
28203-6459

Practice Phone: 980-580-3532
Practice Fax:

1447871710 — ZACHARY JOHN GIBSON DO
Practice Location Address:

1000 BLYTHE BLVD
CHARLOTTE, NC
28203-5812

Practice Phone: 704-355-2171
Practice Fax:

Directions to “THE DILWORTH CENTER FOR CHEMICAL DEPENDENCY ” 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 © 2007-2026 (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.