| Program Resource Institute | |
|
355 S Madison Blvd Space #15 Roxboro NC 27573-5485 | |
| (919) 929-5540 | |
| (919) 929-5320 |
| Full Name | Program Resource Institute |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 355 S Madison Blvd, Roxboro, 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 108 N Orange Ave Dunn NC 28334-3826 Ph: (910) 891-7062 | Program Resource Institute 355 S Madison Blvd Space #15 Roxboro NC 27573-5485 Ph: (919) 929-5540 |
| NPI Number | 1528223989 |
|---|---|
| Provider Enumeration Date | 07/25/2008 |
| Last Update Date | 07/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528223989 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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