Provider Demographics
NPI:1922685684
Name:PROGRESSIVE PARTNERSHIPS
Entity Type:Organization
Organization Name:PROGRESSIVE PARTNERSHIPS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BROOKE
Authorized Official - Middle Name:AMANDA
Authorized Official - Last Name:ULIKOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:BASW
Authorized Official - Phone:862-268-1311
Mailing Address - Street 1:10 SHORE RD
Mailing Address - Street 2:
Mailing Address - City:ANDOVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07821-2237
Mailing Address - Country:US
Mailing Address - Phone:862-268-1311
Mailing Address - Fax:
Practice Address - Street 1:10 SHORE RD
Practice Address - Street 2:
Practice Address - City:ANDOVER
Practice Address - State:NJ
Practice Address - Zip Code:07821-2237
Practice Address - Country:US
Practice Address - Phone:862-268-1311
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-26
Last Update Date:2021-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health