Organization
PROGRESSIVE LIFESTYLE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER JOANNE WILLIAMS (VICE PRESIDENT OF FINANCE)
(248) 607-6507
Entity
Organization
Contact information
Practice address
3410 AIRPORT RD, WATERFORD, MI 48329-3014
(248) 673-2845
Mailing address
1370 N OAKLAND BLVD STE 150, WATERFORD, MI 48327-4526
(248) 607-6507
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/18/2016
Last updated
04/06/2023
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