Whalio Doctors

NPI 1013196930

Progressive Community Services

Organisation Case Management Agency Charlotte, NC

Practice location

Address
3617 Betterton Ln, Charlotte, NC 28269-0148
Phone
(704) 241-4429

Authorised official

Name
Antoine Johnson
Title
Cfo
Phone
(704) 361-1510

Registered specialties (2)

Case Management Agency Primary
Agencies Taxonomy 251B00000X
Developmentally Disabled Services Day Training Agency
Agencies Taxonomy 251C00000X

Registry record

NPI
1013196930
Entity type
Organization
NPI issued
26 Oct 2007
Record last updated
10 Jan 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.