Program Resource Institute, Inc. | |
157 Dublin Square Rd Ste P Asheboro NC 27203-8691 | |
(336) 626-9091 | |
(336) 625-3720 |
Full Name | Program Resource Institute, Inc. |
---|---|
Speciality | Community/behavioral Health |
Location | 157 Dublin Square Rd Ste P, Asheboro, North Carolina |
Authorized Official Name and Position | Ted Fitzgerald (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 9108917062 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Program Resource Institute, Inc. 108 N Orange Ave Dunn NC 28334-3826 Ph: (910) 891-7062 | Program Resource Institute, Inc. 157 Dublin Square Rd Ste P Asheboro NC 27203-8691 Ph: (336) 626-9091 |
NPI Number | 1265546030 |
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Provider Enumeration Date | 08/18/2006 |
Last Update Date | 01/15/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265546030 | NPI | - | NPPES |
8301418G | Medicaid | NC | |
8301418Q | Medicaid | NC | |
8301418B | Medicaid | NC | |
MHL 076-082 | Other | NC | DFS LICENSE NBR. |
8301418 | Medicaid | NC |
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