Organization
COMMUNITY OPTIONS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT P. STACK (CEO & PRESIDENT)
(609) 951-9900
Entity
Organization
Contact information
Practice address
201 N OAK AVE, COOKEVILLE, TN 38501-2437
(931) 372-0955
(931) 372-0052
Mailing address
16 FARBER RD, PRINCETON, NJ 08540-5913
(609) 951-9900
(690) 951-9112
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
L000000013051
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00785
DEPARTMENT OF INTELLECTUAL & DEVELOPMENTAL DISABILITIES PROVIDER NUMBER
TN
Enumeration date
10/10/2014
Last updated
10/10/2014
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