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Club Nova Community, Inc
Adult Mental Health Clinic/Center in Carrboro, North Carolina
NPI 1639232044

Club Nova Community, Inc is an Adult Mental Health Clinic/Center based in Carrboro, NC and is specialized in Adult Mental Health. Club Nova Community, Inc practices in Carrboro, NC. The NPI Number for Club Nova Community, Inc is 1639232044 and holds a License No. MHL068017 (North Carolina).

The current practice location address for Club Nova Community, Inc is 103 W Main St, Carrboro, NC and can be reached out via phone at 919-968-6682 and via fax at 919-968-1764.

Location: 103 W Main St, Carrboro, NC, 27510-2072
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1639232044
Provider Name
Club Nova Community, Inc
Credential
Provider Entity Type
Organization
Address
103 W Main St, Carrboro, NC, 27510-2072
Phone Number
919-968-6682
Fax Number
919-968-1764
Provider Enumeration Date
12/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8301156S 05 NC
institution
Provider Business Practice Location Address Details
Address
103 W Main St
City
Carrboro
State
North Carolina
Zip
27510-2072
Phone Number
919-968-6682
Fax Number
919-968-1764
person
Provider Business Mailing Address Details
Address
103 W Main St
City
Carrboro
State
North Carolina
Zip
27510-2072
Phone Number
919-968-6682
Fax Number
919-968-1764
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
MHL068017 (North Carolina)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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