Provider Demographics
NPI:1457222531
Name:COMMUNITY TRANSITION ACADEMY, INC. (MENTAL HEALTH)
Entity type:Organization
Organization Name:COMMUNITY TRANSITION ACADEMY, INC. (MENTAL HEALTH)
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:JENKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-986-6162
Mailing Address - Street 1:2008 W 9TH ST
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19013-2605
Mailing Address - Country:US
Mailing Address - Phone:610-986-6162
Mailing Address - Fax:
Practice Address - Street 1:2008 W 9TH ST
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19013-2605
Practice Address - Country:US
Practice Address - Phone:610-986-6162
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-13
Last Update Date:2025-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty