Whalio Doctors

NPI 1407886229

Nova INC.

Organisation Psychiatric Residential Treatment Facility Kinston, NC

Practice location

Address
2002 Shackle Ford Rd, Kinston, NC 28504-8917
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 (3)

Psychiatric Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 323P00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Residential Treatment Facilities Taxonomy 322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Residential Treatment Facilities Taxonomy 322D00000X Licence NHL-054-013 (NC)

Registry record

NPI
1407886229
Entity type
Organization
NPI issued
4 Jul 2006
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.