Progression Child and Adolescent Center LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

5966 Issued in SC

Legal business name

PROGRESSION CHILD AND ADOLESCENT CENTER LLC

Practice address

521 North Ave
Rock Hill, SC 29732-3028

Phone

(980) 328-1058

NPI assigned

May 16, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Travis Irving, MBA

Title

Quilified Professional

Phone

(704) 404-0008

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1305504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305504000000",
    "number": "1376836924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 DAWNWOOD DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282124707",
            "telephone_number": "704-408-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 NORTH AVE",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297323028",
            "telephone_number": "980-328-1058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSION CHILD AND ADOLESCENT CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-16",
        "last_updated": "2011-05-16",
        "status": "A",
        "authorized_official_last_name": "IRVING",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_title_or_position": "QUILIFIED PROFESSIONAL",
        "authorized_official_telephone_number": "704-404-0008",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "SC",
            "license": "5966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Rock Hill, SC by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.