# PROGRESSIVE RESIDENTIAL SERVICES OF NEW MEXICO, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** P.R.S. of New Mexico
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801942529
- **Authorized official:** RACHEL GUILFORD (COO)
- **Authorized official phone:** (248) 641-7200

## Contact information

- **Practice address:** 250 S MAIN ST, SUITE A, LAS CRUCES, NM 88001-1278
- **Practice address phone:** (575) 523-8431
- **Mailing address:** 6001 N ADAMS RD, SUITE 165, BLOOMFIELD HILLS, MI 48304-1566
- **Mailing address phone:** (248) 641-7200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251C00000X | Developmentally Disabled Services Day Training Agency | — | — | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | — | Yes |

## Other

- **Enumeration date:** 01/26/2007
- **Last updated:** 02/05/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | D4244 | — | NM |