| Progressive Lifestyle Inc | |
|
1305 Hummer Lake Rd Ortonville MI 48462-9442 | |
| (248) 627-6267 | |
| Not Available |
| Full Name | Progressive Lifestyle Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1305 Hummer Lake Rd, Ortonville, Michigan |
| Authorized Official Name and Position | Annie Turpin (COO) |
| Authorized Official Contact | 2486664136 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Progressive Lifestyle Inc 6600 Highland Rd Ste 11a Waterford MI 48327-1673 Ph: (248) 666-4136 | Progressive Lifestyle Inc 1305 Hummer Lake Rd Ortonville MI 48462-9442 Ph: (248) 627-6267 |
| NPI Number | 1508317272 |
|---|---|
| Provider Enumeration Date | 10/18/2016 |
| Last Update Date | 10/18/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508317272 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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