Organization
PRI CONTRACT SERVICES, INC.
Active
Other names
PRI Counseling Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THEODORE CURTIS FIZTGERALD M.S. (EXECUTIVE DIRECTOR)
(910) 814-0394
Entity
Organization
Contact information
Practice address
211 CHATHAM ST, SANFORD, NC 27330-4336
(919) 774-7746
(919) 775-2779
Mailing address
PO BOX 747, LILLINGTON, NC 27546-0747
(910) 814-0394
(910) 814-0395
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
053-026
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6005054
—
NC
Enumeration date
06/01/2005
Last updated
09/28/2007
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