Community Support Network
Community Support Network is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Santa Rosa, California. Licensed in California. Registered with an NPI since 2007.
- Licensed in
- CA
- In the registry since
- 2007
Practice location Address checks out
1550 N Dutton AveSanta Rosa, CA 95401
Phone: (707) 573-6962
Fax: (707) 573-6967
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Specialties & licences
| Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) | Taxonomy 320600000X · Licence 490111656 (CA) |
|---|
Record details
| NPI number | 1992828966 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Community Support Network |
| Authorized official | Rosemary Devitt — Director Of Finance Admin. · (707) 575-0979 |
| Other names | Csn Dutton |
| NPI enumerated | April 6, 2007 |
| Last updated in NPPES | July 16, 2008 |
| Mailing address | 1410 Guerneville Rd, Suite 14, Santa Rosa, CA 94503 |
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