Organization
COMMUNITY OPTIONS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT STACK B.S., M.A. (PRESIDENT & C.E.O.)
(609) 951-9900
Entity
Organization
Contact information
Practice address
4004 BELT LINE RD, SUITE 120, ADDISON, TX 75001-4370
(972) 503-3901
(972) 503-3898
Mailing address
16 FARBER RD, PRINCETON, NJ 08540-5913
(609) 951-9900
(609) 779-8960
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
TX
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
TX
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
TX
Other
Enumeration date
07/18/2007
Last updated
10/27/2007
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