Organization
NEW PROGRESSIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEOVON KENANE MARTIN B.A. (CEO/ DIRECTOR)
(336) 254-6770
Entity
Organization
Contact information
Practice address
620 GUILFORD COLLEGE RD STE G, GREENSBORO, NC 27409-2027
(336) 254-6770
(336) 292-1589
Mailing address
620 GUILFORD COLLEGE RD STE G, GREENSBORO, NC 27409-2027
(336) 254-6770
(336) 292-1589
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
MHL-041-764
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8300792
—
NC
Enumeration date
10/09/2006
Last updated
11/16/2011
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