| Progressive Community Care Center, Llc | |
|
3205 Hwy 51 Ste C La Place LA 70068 | |
| (985) 224-2151 | |
| (985) 224-2156 |
| Full Name | Progressive Community Care Center, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3205 Hwy 51, La Place, Louisiana |
| Authorized Official Name and Position | Keyorka K Dennis (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5046155549 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Progressive Community Care Center, Llc 3205 Hwy 51 Ste C La Place LA 70068 Ph: (985) 224-2151 | Progressive Community Care Center, Llc 3205 Hwy 51 Ste C La Place LA 70068 Ph: (985) 224-2151 |
| NPI Number | 1851635312 |
|---|---|
| Provider Enumeration Date | 11/21/2012 |
| Last Update Date | 11/21/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851635312 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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