# NOVA INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Maplewood Facility
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033409453
- **Authorized official:** TRACEY PRIDGEN (CFO)
- **Authorized official phone:** (919) 734-8803

## Contact information

- **Practice address:** 2002 G SHACKLEFORD ROAD, KINSTON, NC 28502-7476
- **Practice address phone:** (252) 233-0491
- **Practice address fax:** (252) 233-0495
- **Mailing address:** PO BOX 11147, GOLDSBORO, NC 27532-1147
- **Mailing address phone:** (252) 233-0491
- **Mailing address fax:** (252) 233-0495

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 323P00000X | Psychiatric Residential Treatment Facility | MHL-054-159 | NC | Yes |

## Other

- **Enumeration date:** 04/19/2011
- **Last updated:** 09/27/2024