New Progressions of Mississippi, LLC
NPI #1366886772 in Brandon, Mississippi
Provider Information
- NPI Number
- 1366886772
- Entity Type
- Organization
- Organization Name
- New Progressions of Mississippi, LLC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Apr 29, 2013
- Last Updated
- Apr 29, 2013
Practice Location
- Address
- 1490 W GOVERNMENT ST STE 7-263
- City
- Brandon
- State
- Mississippi
- ZIP Code
- 39042-3024
- Phone
- (336) 254-6770
Authorized Official
- Name
- MR. GEOVON K MARTIN, BS
- Title
- CEO/DIRECTOR
- Phone
- (336) 254-6770
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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