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Club Nova Community, Inc

Adult Mental Health Clinic/Center in Carrboro, NC · enumerated 2006 · authorized official Jacob Long, Associate Director of Administratio.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1639232044

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Club Nova Community, Inc
Practice address 103 W Main St, Suite D, Carrboro, NC, 27510
Fax (919) 968-1764
Enumeration date Dec 18, 2006
Last updated in NPPES Sep 14, 2007

Taxonomy & classification

261QM0850X Adult Mental Health Clinic/Center Ambulatory Health Care Facilities · License MHL068017 (NC) Primary

Authorized official

Name Jacob Long
Title Associate Director of Administratio

Other identifiers

Identifier Type State Issuer
8301156S Medicaid NC -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Club Nova Community, Inc located?
The practice location on file with NPPES is in Carrboro, NC.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2007-09-14. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-09-14.