Provider Demographics
NPI:1326809229
Name:TRANSITIONAL SERVICES ASSOCIATES. LLC
Entity Type:Organization
Organization Name:TRANSITIONAL SERVICES ASSOCIATES. LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:MS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:BROOKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-984-1157
Mailing Address - Street 1:24 GOSSELIN AVE
Mailing Address - Street 2:
Mailing Address - City:OCEANPORT
Mailing Address - State:NJ
Mailing Address - Zip Code:07757-1244
Mailing Address - Country:US
Mailing Address - Phone:732-984-1157
Mailing Address - Fax:
Practice Address - Street 1:24 GOSSELIN AVE
Practice Address - Street 2:
Practice Address - City:OCEANPORT
Practice Address - State:NJ
Practice Address - Zip Code:07757-1244
Practice Address - Country:US
Practice Address - Phone:732-984-1157
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-17
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health