| NPI | 1518772847 |
|---|---|
| Doing Business As | PROGRESSIVE MENTAL WELLNESS LLC |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER GAITOR Psychiatric Nurse Practitioner 386-837-4387 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-02-12 |
| Last Update Date | 2025-02-12 |