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Organization
PROGRAM RESOURCE INSTITUTE, INC.
Active
Organization
PROGRAM RESOURCE INSTITUTE, INC.
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
348 N MAIN ST, TROY, NC 27371-3018
(910) 572-2555
(910) 572-3448
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
MHL-062-020
NC
251S00000X
Community/Behavioral Health Agency
Primary
MHL-062-020
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8301416
—
NC
05
—
8301416B
—
NC
05
—
8301416G
—
NC
05
—
8301416Q
—
NC
Enumeration date
08/19/2006
Last updated
01/15/2009
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