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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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