Organization
COMMUNITY SUPPORT ADVANTAGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW SMITH (OWNER)
(910) 650-9827
Entity
Organization
Contact information
Practice address
36 EQUESTRIAN DR, IMPERIAL, PA 15126-2231
(910) 650-9827
Mailing address
36 EQUESTRIAN DR, IMPERIAL, PA 15126-2231
(910) 650-9827
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/11/2024
Last updated
01/25/2025
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