The Progress House Association

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

THE PROGRESS HOUSE ASSOCIATION

Practice address

4420 E Portland Ave
Tacoma, WA 98404-4666

Phone

(253) 472-3552

NPI assigned

May 21, 2020

Last updated

May 21, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cyntha Fedrick

Title

Coo

Phone

(404) 376-8512

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1590019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590019200000",
    "number": "1639792849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5373",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984150373",
            "telephone_number": "404-376-8512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4420 E PORTLAND AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984044666",
            "telephone_number": "253-472-3552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PROGRESS HOUSE ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-21",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A",
        "authorized_official_last_name": "FEDRICK",
        "authorized_official_first_name": "CYNTHA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "404-376-8512"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Community/Behavioral Health Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; 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.