Provider Demographics
NPI:1144577511
Name:TRANSITIONS BEHAVIORAL HEALTH
Entity Type:Organization
Organization Name:TRANSITIONS BEHAVIORAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:JO
Authorized Official - Last Name:DABOVICH
Authorized Official - Suffix:
Authorized Official - Credentials:CAC II
Authorized Official - Phone:719-499-5117
Mailing Address - Street 1:101 F ST
Mailing Address - Street 2:
Mailing Address - City:SALIDA
Mailing Address - State:CO
Mailing Address - Zip Code:81201-2101
Mailing Address - Country:US
Mailing Address - Phone:720-341-1195
Mailing Address - Fax:
Practice Address - Street 1:101 F ST
Practice Address - Street 2:
Practice Address - City:SALIDA
Practice Address - State:CO
Practice Address - Zip Code:81201-2101
Practice Address - Country:US
Practice Address - Phone:720-341-1195
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility