Progressive Lifestyle INC
Community/Behavioral Health in Ortonville, MI. Organization (NPI-2).
NPI number1508317272
StatusActive
Last updated in NPPESOct 18, 2016
Details
- NPI
- 1508317272
- Entity type
- Organization (NPI-2)
- Legal business name
- Progressive Lifestyle INC
- Organization subpart
- No
- Enumeration date
- Oct 18, 2016
- Last updated
- Oct 18, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Practice location
1305 Hummer Lake RdOrtonville, MI 48462-9442
Phone 248-627-6267
Mailing address
6600 Highland RdSte 11a
Waterford, MI 48327-1673
Phone 248-666-4136
Authorized official
Annie Turpin
Coo
2486664136
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