Progressive Lifestyle INC
Community/Behavioral Health in Clarkston, MI. Organization (NPI-2).
NPI number1982155644
StatusActive
Last updated in NPPESOct 18, 2016
Details
- NPI
- 1982155644
- 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
6463 Church StClarkston, MI 48346-2121
Phone 248-620-1568
Mailing address
6600 Highland RdSte 11a
Waterford, MI 48327-1673
Phone 248-666-4136
Authorized official
Annie Turpin
Coo
2486664136
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All 15 Community/Behavioral Health Agency providers in Clarkston · All 1,567 providers in Clarkston
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