Provider Demographics
NPI:1891317046
Name:C INDIVIDUALS TRANSITION TO WORK
Entity Type:Organization
Organization Name:C INDIVIDUALS TRANSITION TO WORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHERYEL
Authorized Official - Middle Name:
Authorized Official - Last Name:EDNEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-603-0431
Mailing Address - Street 1:6378 EMERALD DUNES DR APT 204
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-2759
Mailing Address - Country:US
Mailing Address - Phone:561-603-0431
Mailing Address - Fax:
Practice Address - Street 1:6378 EMERALD DUNES DR APT 204
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-2759
Practice Address - Country:US
Practice Address - Phone:561-603-0431
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-11
Last Update Date:2020-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services