Organization · Type 2 NPI

Progress House, Inc.

Substance Abuse Rehabilitation Facility · Camino, CA

NPI number 1104961101 Active

Practice location

Progress House Perinatal Facility, 5494 Pony Express Trail
Camino, CA 95709

Mailing address

PO Box 1666
Placerville, CA 95667-1666

Specialties and licenses

TaxonomyCodeLicense
Substance Abuse Rehabilitation Facility 324500000X090002EN (CA)
Substance Abuse Rehabilitation Facility 324500000X090002GN (CA)
Substance Abuse Rehabilitation Facility 324500000X090002HN (CA)
Substance Abuse Rehabilitation Facility Primary 324500000X090002FN (CA)
Substance Abuse Rehabilitation Facility 324500000X090002IN (CA)

Substance Abuse Rehabilitation Facility: 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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About NPI 1104961101

Progress House, Inc.'s National Provider Identifier is 1104961101, issued on Feb 20, 2007. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Camino, CA. The record was last updated on Sep 23, 2021.