Provider Demographics
NPI:1932953650
Name:COMMUNITY TRANSITION SERVICES LLC
Entity Type:Organization
Organization Name:COMMUNITY TRANSITION SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MERRILLINA
Authorized Official - Middle Name:L
Authorized Official - Last Name:MOSBY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-951-7769
Mailing Address - Street 1:420 N EVERGREEN RD STE 102
Mailing Address - Street 2:
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99216-0993
Mailing Address - Country:US
Mailing Address - Phone:509-867-3930
Mailing Address - Fax:509-867-3931
Practice Address - Street 1:420 N EVERGREEN RD STE 102
Practice Address - Street 2:
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99216-0993
Practice Address - Country:US
Practice Address - Phone:509-867-3930
Practice Address - Fax:509-867-3931
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-17
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health