| Pride In North Carolina, Llc | |
|
110-b Branchwood Drive Jacksonville NC 28546-5900 | |
| (910) 938-9833 | |
| (910) 938-9835 |
| Full Name | Pride In North Carolina, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 110-b Branchwood Drive, Jacksonville, North Carolina |
| Authorized Official Name and Position | Jason Rutski (DIRECTOR OF BUSINESS OPERATIONS) |
| Authorized Official Contact | 9104521460 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pride In North Carolina, Llc 231 Commerce St Greenville NC 27858-5029 Ph: (252) 321-8080 | Pride In North Carolina, Llc 110-b Branchwood Drive Jacksonville NC 28546-5900 Ph: (910) 938-9833 |
| NPI Number | 1821136581 |
|---|---|
| Provider Enumeration Date | 02/02/2007 |
| Last Update Date | 10/04/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821136581 | NPI | - | NPPES |
| 8300338B | Medicaid | NC | |
| 8300338G | Medicaid | NC | |
| 8300338 | Medicaid | NC |
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