Provider Demographics
NPI: | 1245979087 |
---|---|
Name: | PROGRESSING AT RECOVERY LLC |
Entity type: | Organization |
Organization Name: | PROGRESSING AT RECOVERY LLC |
Other - Org Name: | <UNAVAIL> |
Other - Org Type: | |
Authorized Official - Title/Position: | EXECUTIVE DIRECTOR |
Authorized Official - Prefix: | |
Authorized Official - First Name: | SHAWNA |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | BECKMAN |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 520-999-2560 |
Mailing Address - Street 1: | 6599 N ORACLE RD |
Mailing Address - Street 2: | |
Mailing Address - City: | TUCSON |
Mailing Address - State: | AZ |
Mailing Address - Zip Code: | 85704-5614 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 520-999-2560 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 6599 N ORACLE RD |
Practice Address - Street 2: | |
Practice Address - City: | TUCSON |
Practice Address - State: | AZ |
Practice Address - Zip Code: | 85704-5614 |
Practice Address - Country: | US |
Practice Address - Phone: | 602-803-3831 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2022-05-31 |
Last Update Date: | 2025-02-13 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 324500000X | Residential Treatment Facilities | Substance Abuse Rehabilitation Facility | |
No | 251S00000X | Agencies | Community/Behavioral Health | |
No | 261Q00000X | Ambulatory Health Care Facilities | Clinic/Center | |
No | 261QH0100X | Ambulatory Health Care Facilities | Clinic/Center | Health Service |
No | 261QM0801X | Ambulatory Health Care Facilities | Clinic/Center | Mental Health (Including Community Mental Health Center) |
No | 261QM0850X | Ambulatory Health Care Facilities | Clinic/Center | Adult Mental Health |
No | 261QM1300X | Ambulatory Health Care Facilities | Clinic/Center | Multi-Specialty |
No | 261QR0400X | Ambulatory Health Care Facilities | Clinic/Center | Rehabilitation |
No | 261QR0401X | Ambulatory Health Care Facilities | Clinic/Center | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
No | 261QR0405X | Ambulatory Health Care Facilities | Clinic/Center | Rehabilitation, Substance Use Disorder |
No | 276400000X | Hospital Units | Rehabilitation, Substance Use Disorder Unit |