Organization
PROACTIVE TRANSITIONS, INC.
Active
Organization
PROACTIVE TRANSITIONS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAWN C CROWLEY (PRESIDENT)
(386) 562-1827
Entity
Organization
Contact information
Practice address
1603 TAYLORWOOD DR, PORT ORANGE, FL 32128-6876
(386) 562-1827
Mailing address
PO BOX 290880, PORT ORANGE, FL 32129-0880
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
09/14/2006
Last updated
08/22/2020
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