| 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 |
|---|---|
| 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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