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Progress House, Inc
Substance Abuse Rehabilitation Facility in Camino, California
NPI 1548438062

Progress House, Inc is a Substance Abuse Rehabilitation Facility based in Placerville, CA. Progress House, Inc practices in Camino, CA. The NPI Number for Progress House, Inc is 1548438062 and holds a License No. 090002FN (California).

The current practice location address for Progress House, Inc is 5494 Pony Express Trail, Camino, CA and can be reached out via phone at 530-644-3758.

Location: 5494 Pony Express Trail, Camino, CA, 95667-1666
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1548438062
Provider Name
Progress House, Inc
Credential
Provider Entity Type
Organization
Address
5494 Pony Express Trail, Camino, CA, 95667-1666
Phone Number
530-644-3758
Fax Number
Provider Enumeration Date
02/19/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
090918 01 CA DRUG MEDI-CAL
institution
Provider Business Practice Location Address Details
Address
5494 Pony Express Trail
City
Camino
State
California
Zip
95709
Phone Number
530-644-3758
Fax Number
person
Provider Business Mailing Address Details
Address
5494 Pony Express Trail
City
Camino
State
California
Zip
95709
Phone Number
530-644-3758
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
090002FN (California)
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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