# COMMUNITY SUPPORT NETWORK

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

## Provider details

- **NPI number:** 1992828966
- **Legal business name:** COMMUNITY SUPPORT NETWORK
- **Authorized official:** ROSEMARY DEVITT M.A. (DIRECTOR OF FINANCE ADMIN.)
- **Authorized official phone:** (707) 575-0979

## Contact information

- **Practice address:** 1550 N. DUTTON AVE, SANTA ROSA, CA 95401
- **Practice address phone:** (707) 573-6962
- **Practice address fax:** (707) 573-6967
- **Mailing address:** 1410 GUERNEVILLE RD, SUITE 14, SANTA ROSA, CA 94503
- **Mailing address phone:** (707) 575-0979
- **Mailing address fax:** (707) 573-6968

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 490111656 | CA | Yes |

## Other

- **Enumeration date:** 04/06/2007
- **Last updated:** 07/16/2008