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Organization
PROGRESS HOUSE, INC.
Active
Organization
PROGRESS HOUSE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY CARLSON (EXECUTIVE DIRECTOR)
(916) 317-7230
Entity
Organization
Contact information
Practice address
2844 COLOMA ST, PROGRESS HOUSE OUTPATIENT SERVICES, PLACERVILLE, CA 95667-4406
(530) 642-1715
Mailing address
PO BOX 1666, PLACERVILLE, CA 95667-1666
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
090002CN
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
090002CN
DHCS
CA
01
—
090927
DRUG MEDI-CAL
CA
Enumeration date
02/20/2007
Last updated
09/23/2021
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