Organization
COMMUNITY SUPPORT OPTIONS, INC.
Active
Other names
Griffith Place
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN STOCKTON (CEO)
(661) 758-5331
Entity
Organization
Contact information
Practice address
1371 GRIFFITH AVE, WASCO, CA 93280-2265
(661) 758-5331
Mailing address
PO BOX 464, WASCO, CA 93280-0464
(661) 758-5331
Taxonomy
Speciality
Code
Description
License number
State
310500000X
Mental Illness Intermediate Care Facility
Primary
050000518
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LTC80256F
LONG-TERM CARE
CA
Enumeration date
05/10/2007
Last updated
05/07/2008
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