Healthcare Provider Details

I. General information

NPI: 1568580108
Provider Name (Legal Business Name): TRANSITION HOUSE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2007
Last Update Date: 11/09/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 ASP AVE SUITE 2
NORMAN OK
73069-4900
US

IV. Provider business mailing address

700 ASP AVE SUITE 2
NORMAN OK
73069-4900
US

V. Phone/Fax

Practice location:
  • Phone: 405-360-7926
  • Fax: 405-360-2339
Mailing address:
  • Phone: 405-360-7926
  • Fax: 405-360-2339

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: MS. BONNIE DUNN
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 405-360-7926