Carolina Outpatient Detox, LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

CAROLINA OUTPATIENT DETOX, LLC

Practice address

1019 Oberlin Rd
Raleigh, NC 27605-1198

Phone

(704) 498-2222

NPI assigned

Jul 7, 2026

Organization subpart

Yes

Parent organization

CAROLINA OUTPATIENT DETOX, LLCAs reported in NPPES

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

Authorized official

Name

Jacob Bezahler

Title

Executive Director

Phone

(704) 498-2222

Specialties & licenses 2

Addresses

Tax ID family

Carolina Outpatient Detox 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.

• Carolina Outpatient Detox, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Charlotte, NC
  • NPI 1710701149
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Carolina Outpatient Detox, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Charlotte, NC
  • NPI 1710701149
  NPPES parent name

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

{
    "created_epoch": "1783382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783382400000",
    "number": "1962320002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 E MOREHEAD ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042895",
            "telephone_number": "704-498-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 OBERLIN RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276051198",
            "telephone_number": "704-498-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA OUTPATIENT DETOX, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAROLINA OUTPATIENT DETOX, LLC",
        "enumeration_date": "2026-07-07",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A",
        "authorized_official_last_name": "BEZAHLER",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "704-498-2222"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolina Neuropsychological Service, Inc
• Carolina Neuroscience Institute, PC
• Carolina North Transportation
• Carolina Nutrition Specialists
• Carolina Optometry Associates, P.a.
• Carolina Outreach, LLC
• Carolina Outreach, LLC
• Carolina Outreach, LLC
• Carolina Partners in Mental
• Carolina Pathways Counseling & Consulting

• Substance Use Disorder Rehabilitation Clinic/Center in Raleigh, NC
• Providers in Raleigh, 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 Jul 7, 2026; 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.