| Progression Child And Adolescent Center Llc | |
|
521 North Ave Rock Hill SC 29732-3028 | |
| (980) 328-1058 | |
| Not Available |
| Full Name | Progression Child And Adolescent Center Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 521 North Ave, Rock Hill, South Carolina |
| Authorized Official Name and Position | Travis Irving (QUILIFIED PROFESSIONAL) |
| Authorized Official Contact | 7044040008 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Progression Child And Adolescent Center Llc 4500 Dawnwood Dr Charlotte NC 28212-4707 Ph: (704) 408-0004 | Progression Child And Adolescent Center Llc 521 North Ave Rock Hill SC 29732-3028 Ph: (980) 328-1058 |
| NPI Number | 1376836924 |
|---|---|
| Provider Enumeration Date | 05/16/2011 |
| Last Update Date | 05/16/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376836924 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 5966 (South Carolina) | Primary |
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