Organization · Type 2 NPI
Community Support Network
Mental Illness Community Based Residential Treatment Facility · Petaluma, CA
NPI number
1396954087
Active
Practice location
21 Faye Ct
Petaluma, CA 94952-2202
Fax (707) 765-0124
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | None listed |
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 Petaluma
About NPI 1396954087
Community Support Network's National Provider Identifier is 1396954087, issued on May 21, 2007. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Petaluma, CA. The record was last updated on Aug 22, 2020.