Provider Demographics
NPI:1598221640
Name:PROGRESSIVE COMPREHENSIVE SERVICES LLC
Entity Type:Organization
Organization Name:PROGRESSIVE COMPREHENSIVE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NEETA
Authorized Official - Middle Name:
Authorized Official - Last Name:DAS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:973-998-6242
Mailing Address - Street 1:100 E HANOVER AVE STE 103
Mailing Address - Street 2:
Mailing Address - City:CEDAR KNOLLS
Mailing Address - State:NJ
Mailing Address - Zip Code:07927-2047
Mailing Address - Country:US
Mailing Address - Phone:973-998-6242
Mailing Address - Fax:973-998-6240
Practice Address - Street 1:25 MAIN ST STE 2
Practice Address - Street 2:
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08837-3448
Practice Address - Country:US
Practice Address - Phone:908-343-9457
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PROGRESSIVE COMPREHENSIVE SERVICES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-02-13
Last Update Date:2019-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services