OrganizationActive
Progressive Life Center Inc.
NPI 1386786093 · Mental Health Clinic/Center (Including Community Mental Health Center) · Washington, DC
Provider details
- NPI number
- 1386786093
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Tracy Garrett, Director of Qi and Bhc(202) 842-2016
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1933 Montana Ave Ne
Washington, DC 20002-1817
Phone: (202) 842-2016
Fax: (202) 842-0604
Approximate (ZIP-level) locationGet directions
Mailing address
1704 17th St Ne
Washington, DC 20002-1810
Registry dates
- Enumerated
- 2007-02-12
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.