Provider Demographics
NPI:1871707109
Name:UNITED PROGRESS, INC.
Entity type:Organization
Organization Name:UNITED PROGRESS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:DONA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-392-2161
Mailing Address - Street 1:PO BOX 10
Mailing Address - Street 2:162 W STATE ST
Mailing Address - City:TRENTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08601-0010
Mailing Address - Country:US
Mailing Address - Phone:609-392-2161
Mailing Address - Fax:609-392-2166
Practice Address - Street 1:56 ESCHER ST
Practice Address - Street 2:
Practice Address - City:TRENTON
Practice Address - State:NJ
Practice Address - Zip Code:08609-1018
Practice Address - Country:US
Practice Address - Phone:609-392-2822
Practice Address - Fax:609-392-3215
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ261QR0405X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7706502Medicaid