Organization
COMMUNITY OPTIONS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT STACK B.S., M.A. (PERSIDENT)
(609) 951-9900
Entity
Organization
Contact information
Practice address
2720 SAN PEDRO DR NE, ALBUQUERQUE, NM 87110-3333
(505) 265-7936
(505) 265-9685
Mailing address
16 FARBER RD, PRINCETON, NJ 08540-5913
(609) 951-9900
(609) 799-8960
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NM600132
PROVIDER NUMBER
NM
Enumeration date
05/09/2007
Last updated
09/11/2025
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