# SB TRANSITIONAL SUB, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1215520747
- **Authorized official:** MARY PATRICIA RODENBERG-ROBERTS (VP & SR. ASST GENERAL COUNSEL)
- **Authorized official phone:** (952) 836-2234

## Contact information

- **Practice address:** 1115 W CHESTNUT ST, BROCKTON, MA 02301-7501
- **Practice address phone:** (508) 521-2200
- **Mailing address:** 1115 W CHESTNUT ST, BROCKTON, MA 02301-7501
- **Mailing address phone:** (508) 521-2200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/16/2021
- **Last updated:** 11/27/2023