Organization Name: | PROGRAM RESOURCE INSTITUTE, INC. |
NPI Number: | 1023122710 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TED FITZGERALD (EXECUTIVE DIRECTOR) |
Mailing Address: | 113 W Elwood Ave Raeford |
State: | NC US |
Postal Code: | 283762801 |
Phone Number: | 9108780112 |
Fax Number: | 9108756703 |
NPI Enumeration Date: | 08/18/2006 |
NPI Last Update Date: | 01/15/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | MHL-047-099 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |