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Organization

PROGRESSIVE MENTAL WELLNESS LLC

Active
Other names
PROGRESSIVE MENTAL WELLNESS LLC
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CHRISTOPHER GAITOR MSN APRN, PMHNP- BC (PSYCHIATRIC NURSE PRACTITIONER)
(386) 837-4387
Entity
Organization

Contact information

Practice address
108 HIGHLAND ST, ORANGE CITY, FL 32763
(386) 837-4387
Mailing address
108 HIGHLAND ST, ORANGE CITY, FL 32763-7017
(386) 837-4387

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
02/12/2025
Last updated
02/12/2025
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