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Organization
THE CENTER FOR PROGRESS AND EXCELLENCE, INC
Active
Organization
THE CENTER FOR PROGRESS AND EXCELLENCE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAN-PAUL MOJICA LCSW (CEO)
(239) 689-8490
Entity
Organization
Contact information
Practice address
11940 FAIRWAY LAKES DR STE 4, FORT MYERS, FL 33913-8385
(239) 689-8490
(239) 689-8103
Mailing address
11940 FAIRWAY LAKES DR STE 4, FORT MYERS, FL 33913-8385
(239) 689-8490
(239) 689-8103
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010785500
—
FL
Enumeration date
12/06/2017
Last updated
07/28/2020
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