Organization
PROGRESSIVE INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREG GILLAM (DIRECTOR OF OPERATIONS)
(203) 816-6424
Entity
Organization
Contact information
Practice address
2 TRAP FALLS RD STE 120, SHELTON, CT 06484-4616
(203) 816-6424
(630) 522-0843
Mailing address
2 TRAP FALLS RD STE 120, SHELTON, CT 06484-4616
(203) 816-6424
(203) 513-8474
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
12/28/2018
Last updated
09/08/2020
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