OrganizationActive
Program Resource Institute
NPI 1487841995 · Addiction (Substance Use Disorder) Counselor · Sanford, NC
Provider details
- NPI number
- 1487841995
- Entity type
- Organization
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Theodore Fitzgerald, Executive Director(910) 891-7062
- License
- MHL-053-053 (NC)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2509 Fayetteville St
Sanford, NC 27330
Phone: (910) 891-7062
Fax: (910) 892-3764
Street-level locationGet directions
Mailing address
108 N Orange Ave
Dunn, NC 28334-3826
Registry dates
- Enumerated
- 2007-09-28
- Last updated
- 2007-09-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.