| NPI | 1255656161 |
|---|---|
| Other Name | PROGRESSIVE INDIVIDUAL RESOURCES INC |
| Entity Type | Organization |
| Authorized Contact | RICHARD BOLADE ONI Director 612-749-3309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2010-04-03 |
| Last Update Date | 2010-04-03 |