Organization
PROGRESSIVE COMMUNITY CARE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KEYORKA K DENNIS (EXECUTIVE DIRECTOR)
(504) 615-5549
Entity
Organization
Contact information
Practice address
3205 HWY 51, STE C, LA PLACE, LA 70068
(985) 224-2151
(985) 224-2156
Mailing address
3205 HWY 51, STE C, LA PLACE, LA 70068
(985) 224-2151
(985) 224-2156
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/21/2012
Last updated
11/21/2012
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