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Organization
PRIDE IN NORTH CAROLINA, INC.
Active
Organization
PRIDE IN NORTH CAROLINA, INC.
Active
Other names
Pride in North Carolina, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON RUTSKI (DIRECTOR OF BUSINESS OPERATIONS)
(910) 452-1460
Entity
Organization
Contact information
Practice address
1216 W CHURCH ST, ELIZABETH CITY, NC 27909-4612
(252) 331-0322
(252) 331-0320
Mailing address
231 COMMERCE ST, GREENVILLE, NC 27858-5029
(252) 321-8080
(252) 321-7999
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6603852
—
NC
05
—
6603947
—
NC
05
—
6603973
—
NC
05
—
6604040
—
NC
Enumeration date
12/27/2006
Last updated
10/04/2017
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