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

Community Support Network - NPI 1336349398

Community Support Network is a Community Based Residential Treatment Facility, Mental Illness in Santa Rosa, 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 1336349398. The last update date is 2008-06-23.

Community Support Network's current location address is 1410 Guerneville Rd, Santa Rosa, California. You can contact this provider via phone number 7075736955 and fax number 7075736968. The mailing address for Community Support Network is 1410 Guerneville Rd, Santa Rosa, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Community Support Network
Address 1410 Guerneville Rd, Santa Rosa, California
Phone Number 7075736955
Fax Number 7075736968
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PROGRAM MA
Authorized Official Name Devitt Rosemary
Telephone Number 7075750979

NPI Number Detail

NPI Number 1336349398
Provider Enumeration Date 2007-07-18
Last Updated Date 2008-06-23

Provider Mailing Address Detail

Address 1410 Guerneville Rd
City Santa Rosa
State California (CA)
Post Code 954037231
Phone Number 7075736955
Fax Number 7075736968

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) 1336349398. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Where is the Community Support Network located?

The Community Support Network is located at 1410 Guerneville Rd, Santa Rosa, CA 954037231.

What is Community Support Network's area of expertise and its corresponding taxonomy classification?

The Community Support Network's field of specialization is Community Based Residential Treatment Facility, Mental Illness, and it falls under the taxonomy code 320800000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1336349398 to Community Support Network?

The Centers for Medicare & Medicaid Services originally issued the 1336349398 to Community Support Network on 2007-07-18.

As of what date was the information regarding Community Support Network, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Community Support Network, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-06-23.

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