NPI 1801942529
Progressive Residential Services of New Mexico, INC.
Practice location
- Address
- 250 S Main St Suite a, Las Cruces, NM 88001-1278
- Phone
- (575) 523-8431
- Mailing address
- 6001 N Adams Rd Suite 165, Bloomfield Hills, MI 48304-1566
Authorised official
- Name
- Rachel Guilford
- Title
- Coo
- Phone
- (248) 641-7200
Registered specialties (2)
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
Developmentally Disabled Services Day Training Agency
Registry record
- NPI
- 1801942529
- Entity type
- Organization
- NPI issued
- 26 Jan 2007
- Record last updated
- 5 Feb 2015
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.