| Progressive Recovery Llc | |
|
1800 Grindley Park St Dearborn MI 48124-2553 | |
| (313) 277-1166 | |
| Not Available |
| Full Name | Progressive Recovery Llc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1800 Grindley Park St, Dearborn, Michigan |
| Authorized Official Name and Position | Melvin Hoberman (MEMBER) |
| Authorized Official Contact | 2485610003 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Progressive Recovery Llc 1800 Grindley Park St Dearborn MI 48124-2553 Ph: () - | Progressive Recovery Llc 1800 Grindley Park St Dearborn MI 48124-2553 Ph: (313) 277-1166 |
| NPI Number | 1659732691 |
|---|---|
| Provider Enumeration Date | 03/18/2016 |
| Last Update Date | 03/18/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659732691 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 680101116 (Michigan) | Primary |
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