| The Progress House Association | |
|
4420 E Portland Ave Tacoma WA 98404-4666 | |
| (253) 472-3552 | |
| Not Available |
| Full Name | The Progress House Association |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4420 E Portland Ave, Tacoma, Washington |
| Authorized Official Name and Position | Cyntha Fedrick (COO) |
| Authorized Official Contact | 4043768512 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Progress House Association Po Box 5373 Tacoma WA 98415-0373 Ph: (404) 376-8512 | The Progress House Association 4420 E Portland Ave Tacoma WA 98404-4666 Ph: (253) 472-3552 |
| NPI Number | 1639792849 |
|---|---|
| Provider Enumeration Date | 05/21/2020 |
| Last Update Date | 05/21/2020 |
| Certification Date | 05/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639792849 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 251V00000X | Voluntary Or Charitable | (* (Not Available)) | Secondary |
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