Provider Demographics
NPI:1083813257
Name:TRANSITIONALS OF PERSONAL SERVICES
Entity Type:Organization
Organization Name:TRANSITIONALS OF PERSONAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CASSANDRA
Authorized Official - Middle Name:LUCETTE
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-820-9605
Mailing Address - Street 1:5831 FAIR FOREST DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77088-1204
Mailing Address - Country:US
Mailing Address - Phone:281-820-9605
Mailing Address - Fax:281-820-3537
Practice Address - Street 1:5831 FAIR FOREST DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77088-1204
Practice Address - Country:US
Practice Address - Phone:281-820-9605
Practice Address - Fax:281-820-3537
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-17
Last Update Date:2007-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health