# PROGRESSIVE RESIDENTIAL SERVICES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417091539
- **Authorized official:** KAREN MILLER (C.A.S.O.)
- **Authorized official phone:** (248) 641-7200

## Contact information

- **Practice address:** 6001 N ADAMS RD, SUITE 165, BLOOMFIELD HILLS, MI 48304-1566
- **Practice address phone:** (248) 641-7200
- **Practice address fax:** (248) 641-9338
- **Mailing address:** 6001 N ADAMS RD, SUITE 165, BLOOMFIELD HILLS, MI 48304-1566
- **Mailing address phone:** (248) 641-7200
- **Mailing address fax:** (248) 641-9338

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 02/20/2007
- **Last updated:** 04/06/2022
