NPI 1033409453

Nova INC

Organisation Psychiatric Residential Treatment Facility Kinston, NC

Practice location

Address: 2002 G Shackleford Road, Kinston, NC 28502-7476
Phone: (252) 233-0491
Fax: (252) 233-0495
Mailing address: PO Box 11147, Goldsboro, NC 27532-1147

Authorised official

Name: Tracey Pridgen
Title: Cfo
Phone: (919) 734-8803

Registered specialties

Psychiatric Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 323P00000X Licence MHL-054-159 (NC)

Other Psychiatric Residential Treatment Facility providers in North Carolina →

Registry record

NPI: 1033409453
Entity type: Organization
NPI issued: 19 Apr 2011
Record last updated: 27 Sep 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.