Organization
COMMUNITY SUPPORT NETWORK
Active
Parent organization
COMMUNITY SUPPORT NETWORK
Other names
CSN Brown St.
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY SUPPORT NETWORK
Authorized official
MS. ROSEMARY DEVITT (DIRECTOR OF FINANCE)
(707) 575-0979
Entity
Organization
Contact information
Practice address
112 BROWN ST, SANTA ROSA, CA 95404-5007
(707) 568-5204
(707) 575-3315
Mailing address
1410 GUERNEVILLE RD, SUITE 14, SANTA ROSA, CA 95403-7231
(707) 575-0979
(707) 573-6968
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
496801902
CA
Other
Enumeration date
04/13/2007
Last updated
06/23/2008
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