Organization
PROGRESS HOUSE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY CARLSON (EXECUTIVE DIRECTOR)
(530) 626-9240
Entity
Organization
Contact information
Practice address
5607 MOUNT MURPHY ROAD, GARDEN VALLEY, CA 95633
(530) 333-9460
Mailing address
PO BOX 1666, PLACERVILLE, CA 95667-1666
(530) 626-9240
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
090002BN
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
090002BN
ALCOHOL & DRUG PROGRAMS
CA
Enumeration date
02/20/2007
Last updated
10/07/2021
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