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PROGRAM RESOURCE INSTITUTE INC. NPI 1497869127


NPI Information

NPI: 1497869127
Provider Name: PROGRAM RESOURCE INSTITUTE, INC.
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
133 W. CORNELIUS HARNETT BLVD.
SUITE B
LILLINGTON, NC
ZIP 27546
Phone: (910) 814-0394
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PROGRAM RESOURCE INSTITUTE, INC. is a community behavioral health in Lillington, NC. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. PROGRAM RESOURCE INSTITUTE, INC. NPI is 1497869127. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

133 W. CORNELIUS HARNETT BLVD.
SUITE B
LILLINGTON, NC
ZIP 27546-854
Phone: (910) 814-0394
Fax: (910) 814-1426

The provider's authorized official is Ted Fitzgerald .
The authorized official title is Executive Director and has the following contact phone number (910) 891-7062.

The enumeration date for this NPI number is 8/19/2006 and was last updated on 1/15/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)MHL-043-002NORTH CAROLINANo
2251B00000XCase ManagementMHL-043-002NORTH CAROLINANo
3251S00000XCommunity/Behavioral HealthMHL-047-099NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
18301413GMEDICAIDNORTH CAROLINA
28301413BMEDICAIDNORTH CAROLINA
38301413MEDICAIDNORTH CAROLINA
48301413QMEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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