# PROGRESSIVE RECOVERY LLC

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

## Provider details

- **NPI number:** 1659732691
- **Authorized official:** MELVIN HOBERMAN (MEMBER)
- **Authorized official phone:** (248) 561-0003

## Contact information

- **Practice address:** 1800 GRINDLEY PARK ST, DEARBORN, MI 48124-2553
- **Practice address phone:** (313) 277-1166
- **Mailing address:** 1800 GRINDLEY PARK ST, DEARBORN, MI 48124-2553

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 680101116 | MI | Yes |

## Other

- **Enumeration date:** 03/18/2016
- **Last updated:** 03/18/2016