Provider Demographics
NPI:1710108592
Name:COMMUNITY TRANSITION LLP
Entity Type:Organization
Organization Name:COMMUNITY TRANSITION LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:PRINCETTA
Authorized Official - Middle Name:DARNELL
Authorized Official - Last Name:WOOTEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-592-7584
Mailing Address - Street 1:479 NELSON DR APT 19
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23601-3404
Mailing Address - Country:US
Mailing Address - Phone:757-223-5842
Mailing Address - Fax:
Practice Address - Street 1:225 28TH ST
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23607-3907
Practice Address - Country:US
Practice Address - Phone:757-592-7584
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health