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Community Support Network
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Santa Rosa, California
NPI 1992828966

Community Support Network is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Santa Rosa, CA. Community Support Network practices in Santa Rosa, CA. The NPI Number for Community Support Network is 1992828966 and holds a License No. 490111656 (California).

The current practice location address for Community Support Network is 1550 N. Dutton Ave, Santa Rosa, CA and can be reached out via phone at 707-573-6962 and via fax at 707-573-6967.

Location: 1550 N. Dutton Ave, Santa Rosa, CA, 94503
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1992828966
Provider Name
Community Support Network
Credential
Provider Entity Type
Organization
Address
1550 N. Dutton Ave, Santa Rosa, CA, 94503
Phone Number
707-573-6962
Fax Number
707-573-6967
Provider Enumeration Date
04/06/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1550 N. Dutton Ave
City
Santa Rosa
State
California
Zip
95401
Phone Number
707-573-6962
Fax Number
707-573-6967
person
Provider Business Mailing Address Details
Address
1550 N. Dutton Ave
City
Santa Rosa
State
California
Zip
95401
Phone Number
707-573-6962
Fax Number
707-573-6967
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
490111656 (California)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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