| Progressive Lifestyle Inc | |
|
3410 Airport Rd Waterford MI 48329-3014 | |
| (248) 673-2845 | |
| Not Available |
| Full Name | Progressive Lifestyle Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3410 Airport Rd, Waterford, Michigan |
| Authorized Official Name and Position | Jennifer Joanne Williams (VICE PRESIDENT OF FINANCE) |
| Authorized Official Contact | 2486076507 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Progressive Lifestyle Inc 1370 N Oakland Blvd Ste 150 Waterford MI 48327-4526 Ph: (248) 607-6507 | Progressive Lifestyle Inc 3410 Airport Rd Waterford MI 48329-3014 Ph: (248) 673-2845 |
| NPI Number | 1073064713 |
|---|---|
| Provider Enumeration Date | 10/18/2016 |
| Last Update Date | 04/06/2023 |
| Certification Date | 04/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073064713 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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