Progressive Care Services INC
Clinic/Center, Adolescent and Children Mental Health in Rocky Mount, NC. Organization (NPI-2).
NPI number1760620520
StatusActive
Last updated in NPPESJan 31, 2009
Details
- NPI
- 1760620520
- Entity type
- Organization (NPI-2)
- Legal business name
- Progressive Care Services INC
- Organization subpart
- No
- Enumeration date
- Jan 31, 2009
- Last updated
- Jan 31, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | – | NC | Yes |
Practice location
3216 Zebulon RdRocky Mount, NC 27804-2435
Phone 252-452-3302
Mailing address
3216 Zebulon RdRocky Mount, NC 27804-2435
Phone 252-452-3302
Authorized official
Victor Randolph Moore
Executive Director
2524523302
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