Organization
A PROGRESSIVE STEP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LORI KING (CLINICAL DIRECTOR, PARTNER)
(919) 749-7128
Entity
Organization
Contact information
Practice address
10320 OLD CREEDMOOR RD, RALEIGH, NC 27613-6537
(919) 749-7128
Mailing address
10320 OLD CREEDMOOR RD, RALEIGH, NC 27613-6537
(919) 749-7128
(919) 327-4708
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/28/2008
Last updated
04/24/2010
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