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Organization
PROGRESSIVE RESIDENTIAL SERVICES OF NEW MEXICO, INC.
Active
Organization
PROGRESSIVE RESIDENTIAL SERVICES OF NEW MEXICO, INC.
Active
Other names
P.R.S. of New Mexico
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL GUILFORD (COO)
(248) 641-7200
Entity
Organization
Contact information
Practice address
250 S MAIN ST, SUITE A, LAS CRUCES, NM 88001-1278
(575) 523-8431
Mailing address
6001 N ADAMS RD, SUITE 165, BLOOMFIELD HILLS, MI 48304-1566
(248) 641-7200
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D4244
—
NM
Enumeration date
01/26/2007
Last updated
02/05/2015
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