Organization
PROGRESSIVE INTERVENTIONS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. IVORY C THOMPSON BSW (EXECUTIVE DIRECTOR)
(919) 519-7757
Entity
Organization
Contact information
Practice address
800 N MANGUM ST, SUITE 111B, DURHAM, NC 27701-2260
(919) 519-7757
Mailing address
800 N MANGUM ST, SUITE 111B, DURHAM, NC 27701-2260
(919) 519-7757
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
08/11/2008
Last updated
09/10/2008
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