Organization
TRANSITIONS-MENTAL HEALTH ASSOCIATION
Active
Parent organization
TRANSITIONS-MENTAL HEALTH ASSOCIATION
Other names
ATP 2- Pismo Street House
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRANSITIONS-MENTAL HEALTH ASSOCIATION
Authorized official
MRS. JILL BOLSTOR-WHITE (EXECUTIVE DIRECTOR)
(805) 540-6505
Entity
Organization
Contact information
Practice address
649 PISMO ST, SAN LUIS OBISPO, CA 93401-3944
(805) 458-5944
Mailing address
784 HIGH ST, SAN LUIS OBISPO, CA 93401-5243
(805) 540-6500
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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