Community Support Network in Cotati - Community Based Residential Treatment Facility, Mental Illness

Community Support Network - NPI 1922121581

Community Support Network is a Community Based Residential Treatment Facility, Mental Illness in Cotati, California. Community Support Network practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Mental Illness. The NPI Number for Community Support Network is 1922121581. The last update date is 2020-08-22.

Community Support Network's current location address is 420 E Cotati Ave, Cotati, California. You can contact this provider via phone number 7077954336 and fax number 7077953306. The mailing address for Community Support Network is 420 E Cotati Ave, Cotati, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Community Support Network
Address 420 E Cotati Ave, Cotati, California
Phone Number 7077954336
Fax Number 7077953306
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PROGRAM MA
Authorized Official Name Coggins-Lewis Laurelin
Telephone Number 7077954336

NPI Number Detail

NPI Number 1922121581
Provider Enumeration Date 2007-04-09
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 420 E Cotati Ave
City Cotati
State California (CA)
Post Code 949314442
Phone Number 7077954336
Fax Number 7077953306

Provider's Primary Taxonomy Detail

Speciality Community Based Residential Treatment Facility, Mental Illness
Taxonomy 320800000X
Definition:
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

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FAQs about Community Support Network

What is the unique identifier code issued to Community Support Network by the Centers for Medicare & Medicaid Services?

The Community Support Network has been assigned the NPI (National Provider Identifier) 1922121581. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Community Support Network?

The Community Support Network is situated at 420 E Cotati Ave, in the city of Cotati, state of CA, with the zip code 949314442.

What is Community Support Network's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Community Support Network's specialized field of practice is Community Based Residential Treatment Facility, Mental Illness, and the corresponding taxonomy code that categorizes this area of specialization is 320800000X.

On what date did Community Support Network receive its 1922121581 assignment from the Centers for Medicare & Medicaid Services?

The Community Support Network was assigned its 1922121581 on 2007-04-09, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Community Support Network's details last updated?

The information pertaining to the Community Support Network, including its address, specialty, and other details, was most recently updated on 2020-08-22.

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