Provider Demographics
NPI:1578068029
Name:TRANSITIONAL PATHS TO INDEPENDENT LIVING
Entity Type:Organization
Organization Name:TRANSITIONAL PATHS TO INDEPENDENT LIVING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:KLEINMANN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-223-5115
Mailing Address - Street 1:69 E BEAU ST
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15301-4711
Mailing Address - Country:US
Mailing Address - Phone:724-223-5115
Mailing Address - Fax:724-223-5119
Practice Address - Street 1:69 E BEAU ST
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301-4711
Practice Address - Country:US
Practice Address - Phone:724-223-5115
Practice Address - Fax:724-223-5119
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-27
Last Update Date:2018-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service