Pride In North Carolina, Llc | |
2815 S Church St Ste 100 Burlington NC 27215-5105 | |
(336) 586-0647 | |
(336) 586-0729 |
Full Name | Pride In North Carolina, Llc |
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Speciality | Community/behavioral Health |
Location | 2815 S Church St Ste 100, Burlington, North Carolina |
Authorized Official Name and Position | Jason Rutski (DIRECTOR OF BUSINESS OPERATIONS) |
Authorized Official Contact | 9104521460 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Pride In North Carolina, Llc 231 Commerce St Greenville NC 27858-5029 Ph: (252) 321-8080 | Pride In North Carolina, Llc 2815 S Church St Ste 100 Burlington NC 27215-5105 Ph: (336) 586-0647 |
NPI Number | 1770621526 |
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Provider Enumeration Date | 02/02/2007 |
Last Update Date | 10/04/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770621526 | NPI | - | NPPES |
8300581 | Medicaid | NC | |
8300581B | Medicaid | NC | |
8300581G | Medicaid | NC |
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