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RWI28206 Progressive Recovery Outreach Inc. (Active)
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Main Details
Name
Progressive Recovery Outreach Inc.
Subdivision Name
Type
Ryan White Part A
340B ID
RWI28206
Grant Number
H89HA11434
Additional Details
Current Program Status
Active
Registration Date
1/13/2015
Participating Start Date
4/1/2015
Participating Approval Date
2/9/2015
Last Recertification Date
2/13/2025
Time Period the Assistance was Received
3/1/2023 - 2/27/2026
Contacts
Authorizing Official
Progressive Recovery Resources
ameer green, Executive Director
(704) 891-6404
Primary Contact
Progressive Recovery Resources
Bertha Allen, Case Management Supervisor
(704) 458-8262
Addresses
Street Address
3129 creighton dr
CHARLOTTE, NC 28205-6209
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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May 2025
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