Carolina Outpatient Detox, LLC
Clinic/Center, Rehabilitation, Substance Use Disorder in Raleigh, NC. Organization (NPI-2).
NPI number1962320002
StatusActive
Last updated in NPPESJul 7, 2026
Details
- NPI
- 1962320002
- Entity type
- Organization (NPI-2)
- Legal business name
- Carolina Outpatient Detox, LLC
- Organization subpart
- Yes
- Enumeration date
- Jul 7, 2026
- Certification date
- Jul 7, 2026
- Last updated
- Jul 7, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR0405X | Clinic/Center, Rehabilitation, Substance Use Disorder | – | – | Yes |
| 324500000X | Substance Abuse Rehabilitation Facility | – | – |
Practice location
1019 Oberlin RdRaleigh, NC 27605-1198
Phone 704-498-2222
Mailing address
1117 E Morehead StCharlotte, NC 28204-2895
Phone 704-498-2222
Authorized official
Jacob Bezahler
Executive Director
7044982222
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