Organization
PROGRESSIVE COMMUNITY SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LYNN WELLS (EXECUTIVE DIRECTOR)
(816) 364-3827
Entity
Organization
Contact information
Practice address
225 S 36TH ST, SAINT JOSEPH, MO 64506-2921
(816) 364-3827
(816) 364-0470
Mailing address
1025 N 22ND ST, SAINT JOSEPH, MO 64506-2607
(806) 364-3827
(816) 364-0470
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
1447-9743
MO
Other
Enumeration date
03/21/2007
Last updated
08/22/2020
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