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Organization
PROGRESSIVE LIFE CENTER INC.
Active
Organization
PROGRESSIVE LIFE CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRACY OZZALINE GARRETT PH.D. (DIRECTOR OF QI AND BHC)
(202) 842-2016
Entity
Organization
Contact information
Practice address
1933 MONTANA AVE NE, WASHINGTON, DC 20002-1817
(202) 842-2016
(202) 842-0604
Mailing address
1704 17TH ST NE, WASHINGTON, DC 20002-1810
(202) 842-2016
(202) 842-0604
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/12/2007
Last updated
08/22/2020
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