Healthcare Provider Details

I. General information

NPI: 1053916759
Provider Name (Legal Business Name): TRANSITIONS IN RECOVERY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2020
Last Update Date: 12/01/2020
Certification Date: 12/01/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 E WYOMISSING AVE
MOHNTON PA
19540-1811
US

IV. Provider business mailing address

PO BOX 40
MOHNTON PA
19540-0040
US

V. Phone/Fax

Practice location:
  • Phone: 610-621-4432
  • Fax:
Mailing address:
  • Phone: 610-621-4432
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code177F00000X
TaxonomyLodging Provider
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: SABRINA MAPLES
Title or Position: BUSINESS DIRECTOR
Credential:
Phone: 610-621-4432