Organization
THE COMMUNITY SUPPORTS NETWORK INC
Active
Other names
Developmental Services of Iowa
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN KANTER (CEO)
(402) 435-2134
Entity
Organization
Contact information
Practice address
5539 S 27TH ST STE 204, LINCOLN, NE 68512-1600
(402) 435-2811
Mailing address
300 W BROADWAY, SUITE 111, COUNCIL BLUFFS, IA 51503-9019
(712) 242-0533
(712) 242-0534
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0735167
—
IA
05
—
856344205
—
MO
Enumeration date
12/03/2010
Last updated
05/20/2024
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