Provider Demographics
NPI:1568580108
Name:TRANSITION HOUSE, INC.
Entity Type:Organization
Organization Name:TRANSITION HOUSE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:BONNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:DUNN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-360-7926
Mailing Address - Street 1:700 ASP AVE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73069-4900
Mailing Address - Country:US
Mailing Address - Phone:405-360-7926
Mailing Address - Fax:405-360-2339
Practice Address - Street 1:700 ASP AVE
Practice Address - Street 2:SUITE 2
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73069-4900
Practice Address - Country:US
Practice Address - Phone:405-360-7926
Practice Address - Fax:405-360-2339
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-26
Last Update Date:2009-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness