Provider Demographics
NPI:1760524003
Name:CORRECTIONAL TRANSITION SERVICES, INC.
Entity Type:Organization
Organization Name:CORRECTIONAL TRANSITION SERVICES, INC.
Other - Org Name:CTSI
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:KUSTERMANN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-588-7530
Mailing Address - Street 1:2308 DOWLING AVE N
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55412-1935
Mailing Address - Country:US
Mailing Address - Phone:612-588-7530
Mailing Address - Fax:612-522-0694
Practice Address - Street 1:2308 DOWLING AVE N
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55412-1935
Practice Address - Country:US
Practice Address - Phone:612-588-7530
Practice Address - Fax:612-522-0694
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1041621-1-CDT101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty