| NPI | 1043365869 |
|---|---|
| Former Legal Business Name | PRIDE IN NORTH CAROLINA, INC |
| Entity Type | Organization |
| Authorized Contact | JASON RUTSKI Director Of Business Operations 910-452-1460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2017-10-04 |