Provider Demographics
NPI:1730249558
Name:TRANSITIONAL RESOURCES
Entity type:Organization
Organization Name:TRANSITIONAL RESOURCES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:DARCELL
Authorized Official - Middle Name:
Authorized Official - Last Name:SLOVEK-WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:206-883-2026
Mailing Address - Street 1:2970 SW AVALON WAY
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98126-2551
Mailing Address - Country:US
Mailing Address - Phone:206-883-2051
Mailing Address - Fax:
Practice Address - Street 1:2970 SW AVALON WAY
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98126-2551
Practice Address - Country:US
Practice Address - Phone:206-883-2051
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA108251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health