# PROGRAM RESOURCE INSTITUTE

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

## Provider details

- **NPI number:** 1962699629
- **Authorized official:** THEODORE FITZGERALD (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (910) 891-7062

## Contact information

- **Practice address:** 2511 FAYETTEVILLE ST, SANFORD, NC 27330
- **Practice address phone:** (919) 774-7746
- **Practice address fax:** (919) 775-2779
- **Mailing address:** 108 N ORANGE AVE, DUNN, NC 28334-3826
- **Mailing address phone:** (910) 892-7061
- **Mailing address fax:** (910) 892-3764

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | MHL-053-053 | NC | Yes |

## Other

- **Enumeration date:** 09/26/2007
- **Last updated:** 10/09/2007