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PRTF REFERRAL FORM

To submit a referral, please take the time to fill out the information below.

Referring Organization Type

Referral Contact

Corporate Office Hours

Monday:

9:00am-5:00pm


Tuesday:

9:00am-5:00pm


Wednesday:

9:00am-5:00pm


Thursday:

9:00am-5:00pm


Friday:

9:00am-5:00pm

CORPORATE OFFICE

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929 Concord Pkwy S

Concord, NC 28027

Phone: 704-985-1189

Fax: 704-262-7135

ALBEMARLE

109 Penny St

Albemarle, NC 28001

Phone: 704-985-1189

Fax: 704-985-0106

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