| Organization Name: | PATH 2 PROGRESS LLC |
| NPI Number: | 1023359460 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANDREA MICHELLE HALL (CEO) |
| Mailing Address: | 133 Sw 120th Way Coral Springs |
| State: | FL US |
| Postal Code: | 330718033 |
| Phone Number: | 6267979977 |
| Fax Number: | 6268442977 |
| NPI Enumeration Date: | 03/11/2013 |
| NPI Last Update Date: | 07/11/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |