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 |
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Address | 1410 Guerneville Rd, Santa Rosa, California |
Phone Number | 7075736955 |
Fax Number | 7075736968 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PROGRAM MA |
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Authorized Official Name | Devitt Rosemary |
Telephone Number | 7075750979 |
NPI Number Detail
NPI Number | 1336349398 |
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Provider Enumeration Date | 2007-07-18 |
Last Updated Date | 2008-06-23 |
Provider Mailing Address Detail
Address | 1410 Guerneville Rd |
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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 |
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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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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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