Provider Demographics
NPI:1982000295
Name:TRANSITIONS MENTAL HEALTH ASSOCIATIOIN
Entity Type:Organization
Organization Name:TRANSITIONS MENTAL HEALTH ASSOCIATIOIN
Other - Org Name:TMHA COMMUNITY RESIDENTIAL PROGRAMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MEGHAN
Authorized Official - Middle Name:KATHLEEN
Authorized Official - Last Name:BOAZ ALVAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-540-6587
Mailing Address - Street 1:1998 SANTA BARBARA AVE
Mailing Address - Street 2:
Mailing Address - City:SAN LUIS OBISPO
Mailing Address - State:CA
Mailing Address - Zip Code:93401-4427
Mailing Address - Country:US
Mailing Address - Phone:805-592-2320
Mailing Address - Fax:805-592-2322
Practice Address - Street 1:1998 SANTA BARBARA AVE STE 100
Practice Address - Street 2:
Practice Address - City:SAN LUIS OBISPO
Practice Address - State:CA
Practice Address - Zip Code:93401-4487
Practice Address - Country:US
Practice Address - Phone:805-592-2321
Practice Address - Fax:805-592-2322
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TRANSITIONS MENTAL HEALTH ASSOCIATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-11-13
Last Update Date:2021-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness