# COMMUNITY SUPPORT NETWORKR

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** COMMUNITY SUPPORT NETWORK
- **Other names:** Oportunity House
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1851617062
- **Legal business name:** COMMUNITY SUPPORT NETWORK
- **Authorized official:** MS. CATHY LEE CARR COUNSELOR (PROGRAM MANAGER)
- **Authorized official phone:** (707) 573-6955

## Contact information

- **Practice address:** 634 PRESSLEY ST, SANTA ROSA, CA 95404-5526
- **Practice address phone:** (707) 573-6955
- **Practice address fax:** (707) 543-8176
- **Mailing address:** 634 PRESSLEY ST, SANTA ROSA, CA 95404-5526
- **Mailing address phone:** (707) 573-6955
- **Mailing address fax:** (707) 543-8176

## Taxonomy

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

## Other

- **Enumeration date:** 04/13/2010
- **Last updated:** 04/13/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 56789 | MEDICAL | CA |