Organization
ILLUMINATED DIRECTION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARL MARTIN NOYES (SPECIAL PROJECTS COORDINATOR)
(919) 223-4571
Entity
Organization
Contact information
Practice address
312 N CHARLES ST STE 300&400, BALTIMORE, MD 21201-4360
(443) 955-0048
Mailing address
2628 CAMELLIA DR APT C, DURHAM, NC 27705-2054
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
09/14/2020
Last updated
04/17/2023
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