Organization
COMMUNITY SUPPORT NETWORKR
Active
Parent organization
COMMUNITY SUPPORT NETWORK
Other names
Oportunity House
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY SUPPORT NETWORK
Authorized official
MS. CATHY LEE CARR COUNSELOR (PROGRAM MANAGER)
(707) 573-6955
Entity
Organization
Contact information
Practice address
634 PRESSLEY ST, SANTA ROSA, CA 95404-5526
(707) 573-6955
(707) 543-8176
Mailing address
634 PRESSLEY ST, SANTA ROSA, CA 95404-5526
(707) 573-6955
(707) 543-8176
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
56789
MEDICAL
CA
Enumeration date
04/13/2010
Last updated
04/13/2010
About Stedi
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