| The Progressive Intervention Network Inc | |
|
802 Eads St Waycross GA 31501-2124 | |
| (912) 281-6126 | |
| Not Available |
| Full Name | The Progressive Intervention Network Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 802 Eads St, Waycross, Georgia |
| Authorized Official Name and Position | Janie B Oliver (OWNER) |
| Authorized Official Contact | 9122816126 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Progressive Intervention Network Inc 802 Eads St Waycross GA 31501-2124 Ph: (912) 281-6126 | The Progressive Intervention Network Inc 802 Eads St Waycross GA 31501-2124 Ph: (912) 281-6126 |
| NPI Number | 1952636045 |
|---|---|
| Provider Enumeration Date | 10/08/2009 |
| Last Update Date | 10/08/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952636045 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LPC005208 (Georgia) | Primary |
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