# COMMUNITY SUPPORT NETWORK

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619276839
- **Authorized official:** MS. DIANE WHITE (PRESIDENT)
- **Authorized official phone:** (727) 321-7788

## Contact information

- **Practice address:** 2749 1ST AVE N, ST PETERSBURG, FL 33713-8723
- **Practice address phone:** (727) 321-7788
- **Practice address fax:** (727) 327-7187
- **Mailing address:** 2749 1ST AVE N, ST PETERSBURG, FL 33713-8723
- **Mailing address phone:** (727) 321-7788
- **Mailing address fax:** (727) 327-7187

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | FL | Yes |

## Other

- **Enumeration date:** 03/28/2011
- **Last updated:** 03/28/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 671069768 | — | FL |
| 05 | — | 671069796 | — | FL |
| 05 | — | 671069798 | — | FL |