Organization
PROGRAM RESOURCE INSTITUTE, INC.
Active
Other names
Woodrow Scoggins Residential Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TED C. FITZGERALD M.S. (EXECUTIVE DIRECTOR)
(910) 891-7062
Entity
Organization
Contact information
Practice address
404 W MAIN ST, SANFORD, NC 27332-5924
(919) 774-1282
(919) 774-1283
Mailing address
108 N ORANGE AVE, DUNN, NC 28334-3826
(910) 891-7062
(910) 892-3764
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
053-011
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6603224
—
NC
01
—
952908
FACILITY ID
NC
Enumeration date
06/01/2005
Last updated
08/22/2020
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