Organization Name: | PROGRAM RESOURCE INSTITUTE |
NPI Number: | 1558517995 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TED FITZGERALD (EXECUTIVE DIRECTOR) |
Mailing Address: | 224 East St Suite A Pittsboro |
State: | NC US |
Postal Code: | 273129750 |
Phone Number: | 9195421848 |
Fax Number: | 9199295320 |
NPI Enumeration Date: | 08/18/2008 |
NPI Last Update Date: | 08/18/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MHL-019-047 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |