Provider Demographics
NPI:1356133300
Name:PROGRESSIVE PATH SERVICES INC
Entity type:Organization
Organization Name:PROGRESSIVE PATH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:OLUYEMISI
Authorized Official - Middle Name:EYITOPE
Authorized Official - Last Name:OYEWOLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-548-8742
Mailing Address - Street 1:3921 EMBLEM COR
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20716-3224
Mailing Address - Country:US
Mailing Address - Phone:240-548-8742
Mailing Address - Fax:
Practice Address - Street 1:3921 EMBLEM COR
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20716-3224
Practice Address - Country:US
Practice Address - Phone:240-548-8742
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-17
Last Update Date:2025-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities