OrganizationActive
Carolina Outpatient Detox, LLC
NPI 1710701149 · Substance Use Disorder Rehabilitation Clinic/Center · Charlotte, NC
Provider details
- NPI number
- 1710701149
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Shannon Erb, Manager(859) 304-4047
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1117 E Morehead St
Charlotte, NC 28204-2895
Phone: (859) 304-4047
Street-level locationGet directions
Mailing address
1117 E Morehead St Ste 100
Charlotte, NC 28204-2870
Registry dates
- Enumerated
- 2024-11-12
- Last updated
- 2025-02-17
- Certified
- 2025-02-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.