Organization
PROGRESSIVE COUNSELING CENTERS INC
Active
Other names
Brevard Outpatient Alternative Treatment
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN W HOLDSWORTH M.S. (EXECUTIVE DIRECTOR)
(321) 773-1111
Entity
Organization
Contact information
Practice address
1127 S PATRICK DR, SUITE 24, SATELLITE BEACH, FL 32937-3939
(321) 773-1111
(321) 773-1692
Mailing address
1127 S PATRICK DR, SUITE 24, SATELLITE BEACH, FL 32937-3939
(321) 773-1111
(321) 773-1692
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0705AD916901
FL
Other
Enumeration date
12/06/2006
Last updated
06/10/2009
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