COMMUNITY SUPPORT NETWORK NPI 1386869246

NPI Information

  • NPI: 1386869246
  • Provider Name: COMMUNITY SUPPORT NETWORK
  • Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
  • Entity Type: Organization
  • Doing Business As: HOUSING AND WELLNESS PROGRAM
  • Address: 201 S. E ST
    SANTA ROSA, CA
    ZIP 95404
  • Phone: (707) 573-6968

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NPI Details

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 1386869246. The provider is registered as an organization entity type.
The provider Is Doing Business As Housing And Wellness Program.

The provider's business location address is:

201 S. E ST
SANTA ROSA, CA
ZIP 95404
Phone: (707) 573-6968
Fax: (707) 569-8358

The provider's authorized official is Tom Bieri .
The authorized official title is Executive Director and has the following contact phone number (707) 575-0979.

The enumeration date for this NPI number is 4/16/2007 and was last updated on 5/23/2022.

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
1320800000XCommunity Based Residential Treatment Facility, Mental Illness490111571CALIFORNIAYes

What is NPI?

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This page was last updated on: 3/30/2025

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