| NPI | 1144368804 |
|---|---|
| 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 | 101YM0800X Counselor, Mental Health |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2017-10-04 |