| Progressive Transition Services Corporation | |
|
333 S 9th St Griffin GA 30224-4111 | |
| (770) 988-4972 | |
| (678) 868-1248 |
| Full Name | Progressive Transition Services Corporation |
|---|---|
| Speciality | Counselor - Professional |
| Location | 333 S 9th St, Griffin, Georgia |
| Authorized Official Name and Position | Trenisha Jones Mccall (CEO) |
| Authorized Official Contact | 6786651814 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Progressive Transition Services Corporation 1190 Flat Rock Rd Stockbridge GA 30281-2728 Ph: (678) 665-1814 | Progressive Transition Services Corporation 333 S 9th St Griffin GA 30224-4111 Ph: (770) 988-4972 |
| NPI Number | 1417425471 |
|---|---|
| Provider Enumeration Date | 11/07/2018 |
| Last Update Date | 11/07/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417425471 | NPI | - | NPPES |
| 003209316A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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