Provider Demographics
NPI:1285982884
Name:TRANSITIONAL SERVICES FOR YOUTH AND FAMILIES
Entity type:Organization
Organization Name:TRANSITIONAL SERVICES FOR YOUTH AND FAMILIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:TIM
Authorized Official - Middle Name:
Authorized Official - Last Name:FEENEY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:802-863-4130
Mailing Address - Street 1:1 MILL ST
Mailing Address - Street 2:SUITE RL-29
Mailing Address - City:BURLINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05401-1530
Mailing Address - Country:US
Mailing Address - Phone:802-863-4130
Mailing Address - Fax:802-660-4085
Practice Address - Street 1:1 MILL ST
Practice Address - Street 2:SUITE RL-29
Practice Address - City:BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05401-1530
Practice Address - Country:US
Practice Address - Phone:802-863-4130
Practice Address - Fax:802-660-4085
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-29
Last Update Date:2012-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health