Organization
COMMUNITY SUPPORT NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURELIN COGGINS-LEWIS (PROGRAM MANAGER)
(707) 795-4336
Entity
Organization
Contact information
Practice address
420 E COTATI AVE, COTATI, CA 94931-4442
(707) 795-4336
(707) 795-3306
Mailing address
420 E COTATI AVE, COTATI, CA 94931-4442
(707) 795-4336
(707) 795-3306
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
CA
Other
Enumeration date
04/09/2007
Last updated
08/22/2020
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