Organization
PROGRESSIVE RESIDENTIAL SERVICES OF TENNESSEE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL GUILFORD (COO)
(248) 641-7200
Entity
Organization
Contact information
Practice address
107 MUSIC CITY CIR, SUITE 101, NASHVILLE, TN 37214-1214
(615) 232-8186
(615) 232-8187
Mailing address
6001 N ADAMS RD, SUITE 165, BLOOMFIELD HILLS, MI 48304-1566
(248) 641-7200
(248) 641-9338
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00931
STATE IDENTIFIER
TN
Enumeration date
02/20/2007
Last updated
02/05/2015
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