| Program Resource Institute | |
|
309 S Madison Blvd Roxboro NC 27573-5429 | |
| (336) 599-5888 | |
| (919) 929-5320 |
| Full Name | Program Resource Institute |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 309 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 309 S Madison Blvd Roxboro NC 27573-5429 Ph: (336) 599-5888 |
| NPI Number | 1568618908 |
|---|---|
| Provider Enumeration Date | 08/18/2008 |
| Last Update Date | 08/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568618908 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | MHL-073-052 (North Carolina) | Primary |
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