Charlotte Detox Center, LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

CHARLOTTE DETOX CENTER, LLC

Practice address

7349 Statesville Rd Ste B
Charlotte, NC 28269-3702

Phone

(866) 623-4948

NPI assigned

Dec 11, 2025

Last updated

Dec 11, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Russell Guccio

Title

Ceo

Phone

(305) 290-0661

Specialties & licenses 1

Addresses

Tax ID family

Charlotte Detox Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Charlotte Detox Center, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Charlotte, NC
  • NPI 1215679121
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1765411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765411200000",
    "number": "1346104544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7349 STATESVILLE RD STE B",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282693702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7349 STATESVILLE RD STE B",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282693702",
            "telephone_number": "866-623-4948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLOTTE DETOX CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-11",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A",
        "authorized_official_last_name": "GUCCIO",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-290-0661"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlotte Counseling Associates, PLLC
• Charlotte Counseling Group
• Charlotte Dermatology PA
• Charlotte Dermatopathology, Inc
• Charlotte Detox Center, LLC
• Charlotte Emergency Dental Clinic
• Charlotte Eye Ear Nose & Throat Associates, P.a.
• Charlotte Eye Ear Nose & Throat Associates, PA
• Charlotte Eye Ear Nose & Throat Associates, PA
• Charlotte Eye Ear Nose & Throat Associates, PA

• Substance Use Disorder Rehabilitation Clinic/Center in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.