Organization
PROGRESSIVE RECOVERY RESOURCES LLC
Active
Other names
progressive recovery resources llc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AMEER GREEN BSW, QMHP,QDDP (EXECUTIVE DIRECTOR)
(704) 891-6404
Entity
Organization
Contact information
Practice address
3129 CREIGHTON DR, CHARLOTTE, NC 28205-6209
(704) 891-6404
Mailing address
3129 CREIGHTON DR, CHARLOTTE, NC 28205-6209
(704) 891-6404
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
NC
251B00000X
Case Management Agency
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6008234
—
NC
05
—
7001430
—
NC
05
—
8700569
—
NC
Enumeration date
06/04/2009
Last updated
04/05/2019
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