NPI 1033712690

Progression Healthcare Mo, LLC

Organisation Substance Abuse Rehabilitation Facility Saint Louis, MO

Practice location

Address: 4960 Laclede Ave, Saint Louis, MO 63108-1404
Phone: (314) 361-6240

Authorised official

Name: Jesseca Wallace
Title: Ceo
Phone: (440) 384-8934

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X

Other Substance Abuse Rehabilitation Facility providers in Missouri →

Registry record

NPI: 1033712690
Entity type: Organization
NPI issued: 17 Nov 2020
Record last updated: 17 Nov 2020

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.