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Organization

A TRANSITION TO INDEPENDENCE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. NADJA MICHELLE MARION (PROGRAM DIRECTOR)
(901) 690-0327
Entity
Organization

Contact information

Practice address
2778 TREASURE ISLAND DR E, MEMPHIS, TN 38115-1707
(901) 690-0327
Mailing address
2778 TREASURE ISLAND DR E, MEMPHIS, TN 38115-1707
(901) 690-0327

Taxonomy

Speciality
Code
Description
License number
State
174200000X
Meals Provider
177F00000X
Lodging Provider
251300000X
Local Education Agency (LEA)
251B00000X
Case Management Agency
251C00000X
Developmentally Disabled Services Day Training Agency
251K00000X
Public Health or Welfare Agency
251S00000X
Community/Behavioral Health Agency
251V00000X
Voluntary or Charitable Agency
253Z00000X
In Home Supportive Care Agency
Primary
273Y00000X
Rehabilitation Hospital Unit
320800000X
Mental Illness Community Based Residential Treatment Facility
324500000X
Substance Abuse Rehabilitation Facility
333300000X
Emergency Response System Companies
3336C0003X
Community/Retail Pharmacy
347C00000X
Private Vehicle

Other

Enumeration date
06/13/2019
Last updated
06/13/2019
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