OrganizationActive
Progression Healthcare Mo, LLC
NPI 1033712690 · Substance Abuse Rehabilitation Facility · Saint Louis, MO
Provider details
- NPI number
- 1033712690
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Authorized official
- Jesseca Wallace, Ceo
Mailing address
4960 Laclede Ave
Saint Louis, MO 63108-1404
Registry dates
- Enumerated
- 2020-11-17
- Last updated
- 2020-11-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.