| Progress House, Inc. | |
|
2844 Coloma St Progress House Outpatient Services Placerville CA 95667-4406 | |
| (530) 642-1715 | |
| Not Available |
| Full Name | Progress House, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2844 Coloma St, Placerville, California |
| Authorized Official Name and Position | Cindy Carlson (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9163177230 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Progress House, Inc. Po Box 1666 Placerville CA 95667-1666 Ph: () - | Progress House, Inc. 2844 Coloma St Progress House Outpatient Services Placerville CA 95667-4406 Ph: (530) 642-1715 |
| NPI Number | 1215072293 |
|---|---|
| Provider Enumeration Date | 02/20/2007 |
| Last Update Date | 09/23/2021 |
| Certification Date | 09/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215072293 | NPI | - | NPPES |
| 090927 | Other | CA | DRUG MEDI-CAL |
| 090002CN | Other | CA | DHCS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 090002CN (California) | Primary |
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