| The Dilworth Center For Chemical Dependency | |
|
2240 Park Rd Charlotte NC 28203-5941 | |
| (704) 372-6969 | |
| (704) 335-0176 |
| Full Name | The Dilworth Center For Chemical Dependency |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 2240 Park Rd, Charlotte, North Carolina |
| Authorized Official Name and Position | Charles A Odell (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7043726969 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Dilworth Center For Chemical Dependency 2240 Park Rd Charlotte NC 28203-5941 Ph: (704) 372-6969 | The Dilworth Center For Chemical Dependency 2240 Park Rd Charlotte NC 28203-5941 Ph: (704) 372-6969 |
| NPI Number | 1770560732 |
|---|---|
| Provider Enumeration Date | 12/29/2005 |
| Last Update Date | 10/06/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770560732 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 060-087 (North Carolina) | Primary |
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