| NPI | 1144352360 |
|---|---|
| Doing Business As | NC MENTOR |
| Entity Type | Organization |
| Authorized Contact | CHARLES DAVIS State Director 919-790-8580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2009-03-27 |