Provider Demographics
NPI:1780994798
Name:TRANSITIONS NFP
Entity type:Organization
Organization Name:TRANSITIONS NFP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:W
Authorized Official - Last Name:DUNCAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:309-283-1212
Mailing Address - Street 1:PO BOX 4238
Mailing Address - Street 2:805 19TH STREET
Mailing Address - City:ROCK ISLAND
Mailing Address - State:IL
Mailing Address - Zip Code:61204-4238
Mailing Address - Country:US
Mailing Address - Phone:309-793-4993
Mailing Address - Fax:309-493-9053
Practice Address - Street 1:2322 16TH ST
Practice Address - Street 2:
Practice Address - City:MOLINE
Practice Address - State:IL
Practice Address - Zip Code:61265-4824
Practice Address - Country:US
Practice Address - Phone:309-793-4993
Practice Address - Fax:309-793-9053
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TRANSITIONS NFP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-10-13
Last Update Date:2010-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health