Provider Demographics
NPI:1437435195
Name:TRANSITIONS NFP
Entity Type:Organization
Organization Name:TRANSITIONS NFP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:W
Authorized Official - Last Name:DUNCAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:309-283-1212
Mailing Address - Street 1:805 19TH ST
Mailing Address - Street 2:P.O. BOX 4238
Mailing Address - City:ROCK ISLAND
Mailing Address - State:IL
Mailing Address - Zip Code:61201-2514
Mailing Address - Country:US
Mailing Address - Phone:309-793-4993
Mailing Address - Fax:309-793-9053
Practice Address - Street 1:1314 10TH ST
Practice Address - Street 2:
Practice Address - City:SILVIS
Practice Address - State:IL
Practice Address - Zip Code:61282-1892
Practice Address - Country:US
Practice Address - Phone:309-732-0958
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-26
Last Update Date:2011-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health