Provider Demographics
NPI:1013377217
Name:PERSONS IN PROGRESS
Entity Type:Organization
Organization Name:PERSONS IN PROGRESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SAMANTHA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:GODGES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-257-6810
Mailing Address - Street 1:1204 W STUART ST APT 174
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80526-5646
Mailing Address - Country:US
Mailing Address - Phone:949-257-6810
Mailing Address - Fax:
Practice Address - Street 1:1204 W STUART ST APT 174
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80526-5646
Practice Address - Country:US
Practice Address - Phone:949-257-6810
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-01
Last Update Date:2016-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services