Organization · Type 2 NPI

Community Support Network

Mental Illness Community Based Residential Treatment Facility · Santa Rosa, CA

NPI number 1386869246 Active

Practice location

201 S. E St
Santa Rosa, CA 95404

Call (707) 573-6968 Map

Fax (707) 569-8358

Mailing address

1410 Guerneville Rd, Suite 14
Santa Rosa, CA 95403

Specialties and licenses

Taxonomy	Code	License
Mental Illness Community Based Residential Treatment Facility Primary	320800000X	490111571 (CA)

Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Other mental illness community based residential treatment facility providers in Santa Rosa

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NPI record

NPI: 1386869246
Entity type: Organization (Type 2)
Issued: Apr 16, 2007
Last updated: May 23, 2022
Status: Active
Subpart: Yes of Community Support Network

Other names

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Housing and Wellness Program · doing business as

Authorized official

Tom Bieri, MFT
Executive Director
(707) 575-0979

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1386869246

Community Support Network's National Provider Identifier is 1386869246, issued on Apr 16, 2007. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Santa Rosa, CA. The record was last updated on May 23, 2022.