Community Support Network in Santa Rosa - Community Based Residential Treatment Facility, Mental Illness
Community Support Network - NPI 1386869246
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 1386869246. The last update date is 2022-05-23.
Community Support Network's current location address is 1410 Guerneville Rd, Santa Rosa, California. You can contact this provider via phone number 7075750979 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 | 7075750979 |
| Fax Number | 7075736968 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Bieri Tom |
| Credentials | MFT |
| Telephone Number | 7075750979 |
NPI Number Detail
| NPI Number | 1386869246 |
|---|---|
| Provider Enumeration Date | 2007-04-16 |
| Last Updated Date | 2022-05-23 |
Provider Mailing Address Detail
| Address | 1410 Guerneville Rd |
|---|---|
| City | Santa Rosa |
| State | California (CA) |
| Post Code | 95403 |
| Phone Number | 7075750979 |
| Fax Number | 7075736968 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
|---|---|
| Taxonomy | 320800000X |
| Licence No | 490111571 |
|
Definition: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Community Support Network?
The Community Support Network has been issued the NPI (National Provider Identifier) 1386869246 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Community Support Network?
The Community Support Network is situated at 1410 Guerneville Rd, in the city of Santa Rosa, state of CA, with the zip code 95403.
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 Community Support Network receive the assignment of its 1386869246 from the Centers for Medicare & Medicaid Services?
The Community Support Network was issued its 1386869246 by the Centers for Medicare & Medicaid Services on 2007-04-16.
As of what date were the details pertaining to Community Support Network last refreshed?
The information related to the Community Support Network, including its address, specialty, and other relevant details, was last updated on 2022-05-23.
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