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Organization
PROGRESSIVE RECOVERY LLC
Active
Organization
PROGRESSIVE RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LATISHA COLES (AGENCY DIRECTOR)
(917) 767-9817
Entity
Organization
Contact information
Practice address
8310 CAROB TREE LN, CHARLOTTE, NC 28215-7142
(917) 767-9817
Mailing address
5309 MONROE RD STE 112, CHARLOTTE, NC 28205-7829
(917) 767-9817
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000
—
NC
Enumeration date
11/02/2021
Last updated
01/05/2022
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