Organization
PROGRAM RESOURCE INSTITUTE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TED FITZGERALD (EXECUTIVE DIRECTOR)
(910) 891-7062
Entity
Organization
Contact information
Practice address
2511 FAYETTEVILLE ST, SANFORD, NC 27330
(919) 774-7746
(919) 775-2779
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
Primary
MHL-053-026
NC
Other
Enumeration date
11/17/2007
Last updated
11/17/2007
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