Community Suppport Network in Santa Rosa - Community Based Residential Treatment Facility, Mental Illness
Community Suppport Network - NPI 1831219989
Community Suppport Network is a Community Based Residential Treatment Facility, Mental Illness in Santa Rosa, California. Community Suppport Network practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Mental Illness. The NPI Number for Community Suppport Network is 1831219989. The last update date is 2012-06-15.
Community Suppport 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 Suppport Network is 1410 Guerneville Rd, Santa Rosa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Community Suppport Network |
|---|---|
| Address | 1410 Guerneville Rd, Santa Rosa, California |
| Phone Number | 7075750979 |
| Fax Number | 7075736968 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR O |
|---|---|
| Authorized Official Name | Larson Rita |
| Telephone Number | 7075750979 |
NPI Number Detail
| NPI Number | 1831219989 |
|---|---|
| Provider Enumeration Date | 2007-03-30 |
| Last Updated Date | 2012-06-15 |
Provider Mailing Address Detail
| Address | 1410 Guerneville Rd |
|---|---|
| City | Santa Rosa |
| State | California (CA) |
| Post Code | 954037231 |
| Phone Number | 7075750979 |
| 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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Post Comment/ Review Below
What is the Community Suppport Network's 1831219989?
The Community Suppport Network's NPI (National Provider Identifier) Number is 1831219989. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Community Suppport Network is physically located?
The Community Suppport Network is situated at the following address: 1410 Guerneville Rd, Santa Rosa, CA 954037231.
What is Community Suppport Network's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Community Suppport 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.
When did the Community Suppport Network receive its 1831219989?
The Community Suppport Network was issued its 1831219989 on 2007-03-30, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to Community Suppport Network, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Community Suppport Network, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-06-15.
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