Organization
PROGRESSIVE INDIVIDUAL RESOURCES II
Active
Other names
Progressive Individual Resources Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD BOLADE ONI PHD, LISW (DIRECTOR)
(612) 749-3309
Entity
Organization
Contact information
Practice address
220 ROBERT ST S STE 200, SAINT PAUL, MN 55107-1692
(612) 749-3309
(651) 222-6567
Mailing address
220 ROBERT ST S STE 200, SAINT PAUL, MN 55107-1692
(612) 749-3309
(651) 222-6567
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/03/2010
Last updated
04/03/2010
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