| Program Resource Institute, Inc. | |
|
133 W. Cornelius Harnett Blvd. Suite B Lillington NC 27546-7854 | |
| (910) 814-0394 | |
| (910) 814-1426 |
| Full Name | Program Resource Institute, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 133 W. Cornelius Harnett Blvd., Lillington, 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. 133 W. Cornelius Harnett Blvd. Suite B Lillington NC 27546-7854 Ph: (910) 814-0394 |
| NPI Number | 1497869127 |
|---|---|
| Provider Enumeration Date | 08/19/2006 |
| Last Update Date | 01/15/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497869127 | NPI | - | NPPES |
| 8301413G | Medicaid | NC | |
| 8301413Q | Medicaid | NC | |
| 8301413B | Medicaid | NC | |
| 8301413 | Medicaid | NC |
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