Provider Demographics
NPI:1053521252
Name:PROGRESSIVE REDEVELOPMENT
Entity type:Organization
Organization Name:PROGRESSIVE REDEVELOPMENT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, CARINGWORKS, INC.
Authorized Official - Prefix:DR
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:
Authorized Official - Last Name:COLLARD
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LMSW
Authorized Official - Phone:404-371-1230
Mailing Address - Street 1:321 W HILL ST
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30030-4362
Mailing Address - Country:US
Mailing Address - Phone:404-371-1230
Mailing Address - Fax:404-371-1335
Practice Address - Street 1:275 WASHINGTON ST SW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30303-3511
Practice Address - Country:US
Practice Address - Phone:404-564-4181
Practice Address - Fax:404-564-4186
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility