Organization Name: | CENTER FOR PROGRESSIVE LEARNING INC |
NPI Number: | 1154768745 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KIMBERLY D BITTINGER (BUSINESS OPERATIONS MANAGER) |
Mailing Address: | 100 Owings Ct Suite 8 Reisterstown |
State: | MD US |
Postal Code: | 211366428 |
Phone Number: | 4105267100 |
Fax Number: | 4105267138 |
NPI Enumeration Date: | 05/23/2013 |
NPI Last Update Date: | 12/03/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0405X |
License Number: | 904911 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rehabilitation, Substance Use Disorder |
Taxonomy Definition: |