Club Nova Community, INC
NPI #1639232044 in Carrboro, North Carolina
Provider Information
- NPI Number
- 1639232044
- Entity Type
- Organization
- Organization Name
- Club Nova Community, INC
- Primary Specialty
- Clinic/Center - Adult Mental Health
- Enumeration Date
- Dec 18, 2006
- Last Updated
- Sep 14, 2007
Practice Location
- Address
- 103 W MAIN ST
- Address 2
- SUITE D
- City
- Carrboro
- State
- North Carolina
- ZIP Code
- 27510-2072
- Phone
- (919) 968-6682
Authorized Official
- Name
- JACOB LONG
- Title
- ASSOCIATE DIRECTOR OF ADMINISTRATIO
- Phone
- (919) 968-6682
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Mental Health — Adult Mental Health |
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