Organization
PROGRESSIVE COMMUNITY RESOURCES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE PAUL LINKE JR. PSYD (INCORPORATOR)
(610) 873-4813
Entity
Organization
Contact information
Practice address
107 W PLOVER WAY, LAVALLETTE, NJ 08735-1237
(610) 873-4813
(610) 873-4813
Mailing address
107 W PLOVER WAY, LAVALLETTE, NJ 08735-1237
(610) 873-4813
(610) 873-4813
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/22/2020
Last updated
04/22/2020
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