COMMUNITY SUPPORT NETWORK NPI 1336349398

NPI Information

NPI: 1336349398
Provider Name: COMMUNITY SUPPORT NETWORK

Doing Business As: CSN OPPORTUNITY HOUSE

Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
634 PRESSLEY ST
SANTA ROSA, CA
ZIP 95404
Phone: (707) 573-6955
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COMMUNITY SUPPORT NETWORK is a community based residential treatment facility mental illness in Santa Rosa, CA. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. COMMUNITY SUPPORT NETWORK NPI is 1336349398. The provider is registered as an organization entity type.
The provider Is Doing Business As Csn Opportunity House.

The provider's business location address is:

634 PRESSLEY ST
SANTA ROSA, CA
ZIP 95404-526
Phone: (707) 573-6955
Fax: (707) 543-8176

The provider's authorized official is Rosemary Devitt .
The authorized official title is Program Manager and has the following contact phone number (707) 575-0979.

The enumeration date for this NPI number is 7/18/2007 and was last updated on 6/23/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320800000X	Community Based Residential Treatment Facility, Mental Illness				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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