# NOVA INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407886229
- **Authorized official:** TRACEY PRIDGEN (CFO)
- **Authorized official phone:** (919) 734-8803

## Contact information

- **Practice address:** 2002 SHACKLE FORD RD, KINSTON, NC 28504-8917
- **Practice address phone:** (252) 233-0491
- **Practice address fax:** (252) 233-0495
- **Mailing address:** PO BOX 11147, GOLDSBORO, NC 27532-1147
- **Mailing address phone:** (919) 734-8803
- **Mailing address fax:** (919) 735-6825

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | NHL-054-013 | NC | — |
| 323P00000X | Psychiatric Residential Treatment Facility | — | — | Yes |

## Other

- **Enumeration date:** 07/04/2006
- **Last updated:** 09/27/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 6005810 | — | NC |
| 05 | — | 6603000 | — | NC |
| 05 | — | 6603006 | — | NC |
| 05 | — | 6603010 | — | NC |
| 05 | — | 6603011 | — | NC |
| 05 | — | 6603013 | — | NC |
| 05 | — | 6603014 | — | NC |
| 05 | — | 8300789B | — | NC |
| 05 | — | 8300789H | — | NC |
| 05 | — | 8300966 | — | NC |
| 05 | — | 8301286D | — | NC |