Provider Demographics
NPI:1558671560
Name:TRANSITIONS NFP
Entity Type:Organization
Organization Name:TRANSITIONS NFP
Other - Org Name:TRANSITIONS MENTAL HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:KRISTIN
Authorized Official - Middle Name:L
Authorized Official - Last Name:RODGERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:309-283-1224
Mailing Address - Street 1:PO BOX 4238
Mailing Address - Street 2:805 19TH STREET
Mailing Address - City:ROCK ISLAND
Mailing Address - State:IL
Mailing Address - Zip Code:61204-4238
Mailing Address - Country:US
Mailing Address - Phone:309-793-4993
Mailing Address - Fax:309-793-9053
Practice Address - Street 1:827 19TH ST
Practice Address - Street 2:
Practice Address - City:ROCK ISLAND
Practice Address - State:IL
Practice Address - Zip Code:61201-2514
Practice Address - Country:US
Practice Address - Phone:309-793-4993
Practice Address - Fax:309-739-9053
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TRANSITIONS NFP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-10-12
Last Update Date:2020-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)