Organization
PROGRESSIVE LIFE CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRACY OZZALINE GARRETT PH.D. (DIRECTOR OF QI AND BHC)
(202) 842-2016
Entity
Organization
Contact information
Practice address
1933 MONTANA AVE NE, WASHINGTON, DC 20002-1817
(202) 842-2016
(202) 842-0604
Mailing address
1704 17TH ST NE, WASHINGTON, DC 20002-1810
(202) 842-2016
(202) 842-0604
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/12/2007
Last updated
08/22/2020
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