Pride In North Carolina, Llc in Burlington - Community/behavioral Health
Pride In North Carolina, Llc - NPI 1770621526
Pride In North Carolina, Llc is a Community/behavioral Health in Burlington, North Carolina. Pride In North Carolina, Llc practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Pride In North Carolina, Llc is 1770621526. The last update date is 2017-10-04.
Pride In North Carolina, Llc's current location address is 2815 S Church St Ste 100, Burlington, North Carolina. You can contact this provider via phone number 3365860647 and fax number 3365860729. The mailing address for Pride In North Carolina, Llc is 2815 S Church St Ste 100, Burlington, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pride In North Carolina, Llc |
|---|---|
| Address | 2815 S Church St Ste 100, Burlington, North Carolina |
| Phone Number | 3365860647 |
| Fax Number | 3365860729 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR O |
|---|---|
| Authorized Official Name | Rutski Jason |
| Telephone Number | 9104521460 |
NPI Number Detail
| NPI Number | 1770621526 |
|---|---|
| Provider Enumeration Date | 2007-02-02 |
| Last Updated Date | 2017-10-04 |
Provider Mailing Address Detail
| Address | 2815 S Church St Ste 100 |
|---|---|
| City | Burlington |
| State | North Carolina (NC) |
| Post Code | 2721551050 |
| Phone Number | 3365860647 |
| Fax Number | 3365860729 |
Provider's Primary Taxonomy Detail
| Speciality | Community/behavioral Health |
|---|---|
| Taxonomy | 251S00000X |
|
Definition: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those dis |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8300581 | NC | -- | |
| 8300581B | NC | -- | |
| 8300581G | NC | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Pride In North Carolina, Llc by the Centers for Medicare & Medicaid Services (CMS)?
The Pride In North Carolina, Llc has been assigned the NPI (National Provider Identifier) 1770621526. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Pride In North Carolina, Llc?
The Pride In North Carolina, Llc is situated at 2815 S Church St Ste 100, in the city of Burlington, state of NC, with the zip code 2721551050.
What is the Pride In North Carolina, Llc's area of specialization and corresponding taxonomy classification?
The Pride In North Carolina, Llc's specialty field is Community/behavioral Health, and it falls under the taxonomy code 251S00000X, which categorizes healthcare providers based on their specialties.
On what date did the Pride In North Carolina, Llc receive its 1770621526 assignment from the Centers for Medicare & Medicaid Services?
The Pride In North Carolina, Llc was assigned its 1770621526 by the Centers for Medicare & Medicaid Services on 2007-02-02.
As of what date were the details pertaining to Pride In North Carolina, Llc last refreshed?
The information related to the Pride In North Carolina, Llc, including its address, specialty, and other relevant details, was last updated on 2017-10-04.
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