Organization Name: | PRI CONTRACT SERVICES, INC. |
NPI Number: | 1184839888 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TED FITZGERALD (EXECUTIVE DIRECTOR) |
Mailing Address: | 133 W Cornelius-harnett Blvd Suite B Lillington |
State: | NC US |
Postal Code: | 275467854 |
Phone Number: | 9108140394 |
Fax Number: | 9108141426 |
NPI Enumeration Date: | 05/14/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | MHL-043-002 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |