Organization
PROGRESSION CHILD AND ADOLESCENT CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRAVIS IRVING MBA (QUILIFIED PROFESSIONAL)
(704) 404-0008
Entity
Organization
Contact information
Practice address
521 NORTH AVE, ROCK HILL, SC 29732-3028
(980) 328-1058
Mailing address
4500 DAWNWOOD DR, CHARLOTTE, NC 28212-4707
(704) 408-0004
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
5966
SC
Other
Enumeration date
05/16/2011
Last updated
05/16/2011
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