Provider Demographics
NPI:1225916802
Name:CENTER FOR EFFECTIVE LIFE TRANSITIONS
Entity type:Organization
Organization Name:CENTER FOR EFFECTIVE LIFE TRANSITIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CATRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON-COLEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:JD
Authorized Official - Phone:909-990-5116
Mailing Address - Street 1:PO BOX 284
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91739-0284
Mailing Address - Country:US
Mailing Address - Phone:909-990-5116
Mailing Address - Fax:909-505-0472
Practice Address - Street 1:224 N RIVERSIDE AVE STE D
Practice Address - Street 2:
Practice Address - City:RIALTO
Practice Address - State:CA
Practice Address - Zip Code:92376-5968
Practice Address - Country:US
Practice Address - Phone:909-990-5116
Practice Address - Fax:909-505-0472
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-22
Last Update Date:2025-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty