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Organization
PROGRAM RESOURCE INSTITUTE
Active
Organization
PROGRAM RESOURCE INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TED FITZGERALD M.S. (EXECUTIVE DIRECTOR)
(910) 891-7062
Entity
Organization
Contact information
Practice address
204 E WADE ST, WADESBORO, NC 28170-2265
(704) 695-1016
(704) 695-0611
Mailing address
108 N ORANGE AVE, DUNN, NC 28334-3826
(910) 891-7062
(910) 892-3764
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
MHL-004-014
—
Other
Enumeration date
03/09/2007
Last updated
01/14/2009
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