Organization
PROGRESSIVE RESIDENTIAL SERVICES OF NEW MEXICO, INC.
Active
Other names
P.R.S. of New Mexico
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL GUILFORD (COO)
(248) 641-7200
Entity
Organization
Contact information
Practice address
250 S MAIN ST, SUITE A, LAS CRUCES, NM 88001-1278
(575) 523-8431
Mailing address
6001 N ADAMS RD, SUITE 165, BLOOMFIELD HILLS, MI 48304-1566
(248) 641-7200
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D4244
—
NM
Enumeration date
01/26/2007
Last updated
02/05/2015
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