Program Resource Institute, Inc.
Organization Active NPI Addiction (Substance Use Disorder) Counselor · Troy, NC
NPI 1407052129 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1407052129
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- MHL-062-020 (NC)
- Legal business name
- PROGRAM RESOURCE INSTITUTE, INC.
- Practice address
- 348 N Main St
Troy, NC 27371-3018 - Phone
- (910) 572-2555
- Fax
- (910) 572-3448
- NPI assigned
- Jun 21, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Ted Fitzgerald, M.S.
- Title
- Executive Director
- Phone
- (910) 891-7062
Corporate family (same tax ID) 24
National Provider Directory
- Tax ID family
- Pri Counseling Services
Locations
348 N Main St
Troy, NC 27371
Phone (910) 572-2555
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor |
101YA0400X | MHL-062-020 | NC | Yes |
Addresses
Primary practice location
348 N Main St
Troy, NC 27371-3018
Mailing address
108 N Orange Ave
Dunn, NC 28334-3826
Phone (910) 891-7062
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8301416Q | Medicaid | NC |
Other names
- PRI Counseling Services
Other providers in Troy, NC
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- Whitney G Pinson
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- Program Resource Institute, Inc.
- Program Resource Institute, Inc.
- Program Resource Institute, Inc.
- Program Resource Institute, Inc.
- Raleigh Durham Medical Group, PA
All providers in Troy, NC · Addiction (Substance Use Disorder) Counselor in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.