Healthcare Provider Details

I. General information

NPI: 1417862558
Provider Name (Legal Business Name): PROGRESSIVE FAMILY SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20411 S SUSANA RD STE K
LONG BEACH CA
90810-1137
US

IV. Provider business mailing address

20411 S SUSANA RD STE K
LONG BEACH CA
90810-1137
US

V. Phone/Fax

Practice location:
  • Phone: 562-333-1432
  • Fax:
Mailing address:
  • Phone: 562-333-1432
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ROSHANDA CASTEEL
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 562-333-1432