# PROGRAM RESOURCE INSTITUTE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528255270
- **Authorized official:** THEODORE FITZGERALD (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (910) 891-7062

## Contact information

- **Practice address:** 204 E WADE ST, WADESBORO, NC 28170-2265
- **Practice address phone:** (704) 694-1010
- **Practice address fax:** (704) 694-0611
- **Mailing address:** 108 N ORANGE AVE, DUNN, NC 28334-3826
- **Mailing address phone:** (910) 891-7062
- **Mailing address fax:** (910) 892-3764

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | MHL-004-014 | NC | Yes |

## Other

- **Enumeration date:** 09/26/2007
- **Last updated:** 09/26/2007