NPI 1013196930
Progressive Community Services
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
Developmentally Disabled Services Day Training Agency
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.