Provider Demographics
NPI:1013183557
Name:TRANSITIONS - MENTAL HEALTH ASSOCIATION
Entity Type:Organization
Organization Name:TRANSITIONS - MENTAL HEALTH ASSOCIATION
Other - Org Name:TMHA
Other - Org Type:Other Name
Authorized Official - Title/Position:ASSOCIATE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:S
Authorized Official - Last Name:RICCERI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-925-8933
Mailing Address - Street 1:1112 S BROADWAY
Mailing Address - Street 2:
Mailing Address - City:SANTA MARIA
Mailing Address - State:CA
Mailing Address - Zip Code:93454-6608
Mailing Address - Country:US
Mailing Address - Phone:805-928-0139
Mailing Address - Fax:805-928-1410
Practice Address - Street 1:277 SOUTH ST
Practice Address - Street 2:SUITE Y
Practice Address - City:SAN LUIS OBISPO
Practice Address - State:CA
Practice Address - Zip Code:93401-5039
Practice Address - Country:US
Practice Address - Phone:805-541-5144
Practice Address - Fax:805-541-9480
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-05
Last Update Date:2008-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health