Progressive Recovery Resources Llc
LBN: Progressive Recovery Resources Llc
Progressive Recovery Resources Llc is an health care organization with primary practice located at 3129 Creighton Dr , Charlotte NC 28205-6209. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Agencies / Case Management. Agencies / Case Management is the primary health care specialty.
Progressive Recovery Resources Llc can be contacted via phone (704) 891-6404, or through Green, Ameer via phone (704) 891-6404.
Contact Information
Primary practice address
3129 Creighton Dr
Charlotte NC 28205-6209
Phone: (704) 891-6404
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | North Carolina | |
| Agencies / Case Management | 251B00000X | North Carolina |
Profile Details
| NPI number | 1144456104 |
|---|---|
| LBN Legal business name | Progressive Recovery Resources Llc |
| DBA Doing business as | Progressive Recovery Resources Llc |
| Authorized official | Green, Ameer BSW, QMHP,QDDP |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 4th, 2009 |
| Last updated | Apr 5th, 2019 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144456104 | NPPES |
| North Carolina | MEDICAID | 8700569 | |
| North Carolina | MEDICAID | 7001430 | |
| North Carolina | MEDICAID | 6008234 |
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