| Program Resource Institute, Inc. | |
|
209 Lloyd St Suite 350 Carrboro NC 27510-1857 | |
| (919) 929-5540 | |
| (919) 929-5320 |
| Full Name | Program Resource Institute, Inc. |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 209 Lloyd St, Carrboro, 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. 209 Lloyd St Suite 350 Carrboro NC 27510-1857 Ph: (919) 929-5540 |
| NPI Number | 1376799346 |
|---|---|
| Provider Enumeration Date | 08/11/2008 |
| Last Update Date | 08/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376799346 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | MHL-068-136 (North Carolina) | Primary |
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