| NPI | 1619292471 |
|---|---|
| Doing Business As | NORTH CAROLINA MENTOR |
| Entity Type | Organization |
| Authorized Contact | CHARLES DAVIS State Director 919-790-8580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry |
| Enumeration Date | 2010-04-05 |
| Last Update Date | 2010-04-07 |