# NOVA INC

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

## Provider details

- **NPI number:** 1124251517
- **Authorized official:** TRACEY PRIDGEN (CFO)
- **Authorized official phone:** (919) 734-8803

## Contact information

- **Practice address:** 2002 D-E 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-054-126 | NC | Yes |

## Other

- **Enumeration date:** 09/01/2009
- **Last updated:** 09/27/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0032H | BCBSNC | NC |
| 05 | — | 3404551 | — | NC |