Organization
ILLUMINATED DIRECTION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARL MARTIN NOYES (SPECIAL PROJECT COORDINATOR)
(919) 223-4571
Entity
Organization
Contact information
Practice address
312 N CHARLES ST STE 300, BALTIMORE, MD 21201-4322
(443) 955-0048
Mailing address
2628 CAMELLIA DR APT C, DURHAM, NC 27705-2054
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/14/2020
Last updated
09/14/2020
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