# SUCCESSFUL TRANSITIONS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205094703
- **Authorized official:** MRS. EVA L WASHINGTON M.S. ED, CRC, LCAS-A (CO-DIRECTOR)
- **Authorized official phone:** (336) 312-7761

## Contact information

- **Practice address:** 820 MARK ST, HIGH POINT, NC 27260-5928
- **Practice address phone:** (336) 889-7515
- **Practice address fax:** (336) 889-7505
- **Mailing address:** 301 N ELM ST, 264, GREENSBORO, NC 27401-2083
- **Mailing address phone:** (336) 275-7973
- **Mailing address fax:** (336) 272-1325

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | MHL 041-866 | NC | Yes |

## Other

- **Enumeration date:** 05/30/2008
- **Last updated:** 03/06/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 6604313 | — | NC |