Organization
PROGRESSIVE CARE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VICTOR RANDOLPH MOORE JR. (EXECUTIVE DIRECTOR)
(252) 452-3302
Entity
Organization
Contact information
Practice address
3216 ZEBULON RD, ROCKY MOUNT, NC 27804-2435
(252) 452-3302
Mailing address
3216 ZEBULON RD, ROCKY MOUNT, NC 27804-2435
(252) 452-3302
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
NC
Other
Enumeration date
01/31/2009
Last updated
01/31/2009
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