| NPI | 1235877598 |
|---|---|
| Former Legal Business Name | PROGRESSIVE SPECTRUM LLC |
| Entity Type | Organization |
| Authorized Contact | BRADFORD JOHN CARY-COLEMAN CEO 336-340-5138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2022-05-25 |
| Last Update Date | 2022-05-26 |