Provider Demographics
NPI:1407322076
Name:PROGRESS HOUSE, INC.
Entity Type:Organization
Organization Name:PROGRESS HOUSE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO AND GENERAL COUNSEL
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:DELANEY
Authorized Official - Suffix:
Authorized Official - Credentials:JD
Authorized Official - Phone:317-258-2050
Mailing Address - Street 1:201 SHELBY ST
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46202-3943
Mailing Address - Country:US
Mailing Address - Phone:317-637-9816
Mailing Address - Fax:
Practice Address - Street 1:201 SHELBY ST
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202-3943
Practice Address - Country:US
Practice Address - Phone:317-637-9816
Practice Address - Fax:317-692-9149
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-22
Last Update Date:2018-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty