Organization
PROGRESSIVE HEALTH OF PENNSYLVANIA INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL BROOKS (CEO)
(570) 296-5156
Entity
Organization
Contact information
Practice address
110 E HARFORD ST, MILFORD, PA 18337-1002
(570) 296-5156
(570) 296-2592
Mailing address
110 EAST HARFORD STREET, MILFORD, PA 18337-1002
(570) 296-5156
(570) 296-2592
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1006808200002
—
PA
Enumeration date
01/30/2007
Last updated
05/29/2015
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