Provider Demographics
NPI:1659420651
Name:LIFE TRANSITIONS CENTER, INC.
Entity Type:Organization
Organization Name:LIFE TRANSITIONS CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAMS
Authorized Official - Middle Name:E
Authorized Official - Last Name:FINN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-686-8268
Mailing Address - Street 1:3580 HARLEM RD
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14215-2048
Mailing Address - Country:US
Mailing Address - Phone:716-836-6460
Mailing Address - Fax:716-836-1578
Practice Address - Street 1:3580 HARLEM RD
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14215-2048
Practice Address - Country:US
Practice Address - Phone:716-836-6460
Practice Address - Fax:716-836-1578
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY053231Medicare UPIN