Organization
PRODUCTIVE PATHWAYS TRANSITIONAL SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOTRALEE MCNEAL CBHCM102301 (CEO/EXECUTIVE DIRECTOR)
(321) 363-9333
Entity
Organization
Contact information
Practice address
835 SYCAMORE ST # H8, TITUSVILLE, FL 32780-7700
(321) 363-9333
Mailing address
835 SYCAMORE ST # H8, TITUSVILLE, FL 32780-7700
(321) 363-9333
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CBHCM102301
—
FL
Enumeration date
07/01/2019
Last updated
07/01/2019
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