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Organization

PROGRESSIVE COMMUNITY SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANTOINE JOHNSON (CFO)
(704) 361-1510
Entity
Organization

Contact information

Practice address
3617 BETTERTON LN, CHARLOTTE, NC 28269-0148
(704) 241-4429
Mailing address
3617 BETTERTON LN, CHARLOTTE, NC 28269-0148
(704) 241-4429

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
251C00000X
Developmentally Disabled Services Day Training Agency

Other

Enumeration date
10/26/2007
Last updated
01/10/2008
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