Provider Demographics
NPI: | 1255966750 |
---|---|
Name: | PROGRESS CITY LLC |
Entity type: | Organization |
Organization Name: | PROGRESS CITY LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | CEO |
Authorized Official - Prefix: | |
Authorized Official - First Name: | BRYAN |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | KIGER |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 412-980-1697 |
Mailing Address - Street 1: | 85 S 24TH ST |
Mailing Address - Street 2: | |
Mailing Address - City: | PITTSBURGH |
Mailing Address - State: | PA |
Mailing Address - Zip Code: | 15203-2233 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 412-450-0118 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 85 S 24TH ST |
Practice Address - Street 2: | |
Practice Address - City: | PITTSBURGH |
Practice Address - State: | PA |
Practice Address - Zip Code: | 15203-2233 |
Practice Address - Country: | US |
Practice Address - Phone: | 412-450-0118 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2020-03-05 |
Last Update Date: | 2022-09-28 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | Clinical | Group - Multi-Specialty |
No | 106S00000X | Behavioral Health & Social Service Providers | Behavior Technician | Group - Single Specialty |