Organization
PROGRESSIVE RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELVIN HOBERMAN (MEMBER)
(248) 561-0003
Entity
Organization
Contact information
Practice address
1800 GRINDLEY PARK ST, DEARBORN, MI 48124-2553
(313) 277-1166
Mailing address
1800 GRINDLEY PARK ST, DEARBORN, MI 48124-2553
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
680101116
MI
Other
Enumeration date
03/18/2016
Last updated
03/18/2016
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