Organization
PROGRESSIVE LIVING SOLUTIONS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX STREATER (EXECUTIVE DIRECTOR)
(651) 303-6769
Entity
Organization
Contact information
Practice address
6243 384TH LN, NORTH BRANCH, MN 55056-3318
(651) 303-6769
(651) 674-6280
Mailing address
PO BOX 566, NORTH BRANCH, MN 55056-0566
(651) 303-6769
(651) 674-6280
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/31/2024
Last updated
07/31/2024
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