Progressive Interventions, INC.
Clinic/Center, Mental Health (Including Community Mental Health Center) in Durham, NC. Organization (NPI-2).
NPI number1437305331
StatusActive
Last updated in NPPESSep 10, 2008
Details
- NPI
- 1437305331
- Entity type
- Organization (NPI-2)
- Legal business name
- Progressive Interventions, INC.
- Organization subpart
- No
- Enumeration date
- Aug 11, 2008
- Last updated
- Sep 10, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
| 251B00000X | Case Management | – | – | |
| 251S00000X | Community/Behavioral Health | – | – | |
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | |
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | – | – |
Practice location
800 N Mangum StSuite 111b
Durham, NC 27701-2260
Phone 919-519-7757
Mailing address
800 N Mangum StSuite 111b
Durham, NC 27701-2260
Phone 919-519-7757
Authorized official
Ivory C Thompson
Executive Director
9195197757
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