Woodrow Scoggins Residential Treatment Center

LBN: Program Resource Institute, Inc.
Woodrow Scoggins Residential Treatment Center is an health care organization with primary practice located at 404 W Main St , Sanford NC 27332-5924. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Treatment, Children, which is considered as the primary health care specialty. Program Resource Institute, Inc. can be contacted via phone (919) 774-1282, or through Fitzgerald, Ted C. via phone (910) 891-7062.

Contact Information

Primary practice address
404 W Main St Sanford NC 27332-5924
Fax: (919) 774-1283
Website:
Authorized official contact:
Name: Fitzgerald, Ted C. M.S.

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Treatment, Children 3245S0500X 053-011 North Carolina

Profile Details

NPI number 1851393177
LBN Legal business name Program Resource Institute, Inc.
DBA Doing business as Woodrow Scoggins Residential Treatment Center
Authorized official Fitzgerald, Ted C. M.S.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 1st, 2005
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851393177 NPPES
North Carolina MEDICAID 6603224
North Carolina Other 952908

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