| NPI | 1821844796 |
|---|---|
| Doing Business As | ILLUMINATE NC |
| Entity Type | Organization |
| Authorized Contact | LINDSEY HUMPHREYS Executive Director 919-622-5532 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2024-04-30 |
| Last Update Date | 2024-12-12 |