# PRIDE IN NORTH CAROLINA, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pride in North Carolina, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891850194
- **Authorized official:** MR. JASON RUTSKI (DIRECTOR OF BUSINESS OPERATIONS)
- **Authorized official phone:** (910) 452-1460

## Contact information

- **Practice address:** 1216 W CHURCH ST, ELIZABETH CITY, NC 27909-4612
- **Practice address phone:** (252) 331-0322
- **Practice address fax:** (252) 331-0320
- **Mailing address:** 231 COMMERCE ST, GREENVILLE, NC 27858-5029
- **Mailing address phone:** (252) 321-8080
- **Mailing address fax:** (252) 321-7999

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251S00000X | Community/Behavioral Health Agency | — | — | — |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | — | Yes |

## Other

- **Enumeration date:** 12/27/2006
- **Last updated:** 10/04/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 6603852 | — | NC |
| 05 | — | 6603947 | — | NC |
| 05 | — | 6603973 | — | NC |
| 05 | — | 6604040 | — | NC |