Organization
PROGRESSIVE LIVING, LLC
Active
Organization
PROGRESSIVE LIVING, LLC
Active
Parent organization
DIGNITY HEALTH BEHAVIORAL SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
DIGNITY HEALTH BEHAVIORAL SERVICES
Authorized official
LYDDIA GETAWERU MBA (CEO/OWNER)
(480) 773-8480
Entity
Organization
Contact information
Practice address
1314 E GLASS LN, PHOENIX, AZ 85042-5819
(480) 773-8480
(480) 546-3626
Mailing address
1314 E GLASS LN, PHOENIX, AZ 85042-5819
(480) 773-8480
(480) 546-3626
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
BH0771
—
AZ
Enumeration date
10/25/2021
Last updated
10/25/2021
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