| Program Resource Institute, Inc. | |
|
113 W Elwood Ave Raeford NC 28376-2801 | |
| (910) 878-0112 | |
| (910) 875-6703 |
| Full Name | Program Resource Institute, Inc. |
|---|---|
| Speciality | Case Management |
| Location | 113 W Elwood Ave, Raeford, 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. 113 W Elwood Ave Raeford NC 28376-2801 Ph: (910) 878-0112 |
| NPI Number | 1023122710 |
|---|---|
| Provider Enumeration Date | 08/18/2006 |
| Last Update Date | 01/15/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023122710 | NPI | - | NPPES |
| 8301417G | Medicaid | NC | |
| 8301417B | Medicaid | NC | |
| MHL-047-099 | Other | NC | DFS LICENSE NBR. |
| 8301418Q | Medicaid | NC | |
| 8301417 | Medicaid | NC |
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