| NPI | 1265529473 |
|---|---|
| Other Name | PROGRESSIVE PSYCHOLOGICAL, LLC |
| Entity Type | Organization |
| Authorized Contact | BENJAMIN E. JOHNSON Onwer 425-228-7265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: WA 601-778-017) |
| Enumeration Date | 2006-10-07 |
| Last Update Date | 2020-08-22 |