Organization · Type 2 NPI

Community Support Network

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

NPI number 1427272004 Active

Practice location

112 Brown St
Santa Rosa, CA 95404-5007

Call (707) 568-5204 Map

Fax (707) 575-3315

Mailing address

1410 Guerneville Rd, Suite 14
Santa Rosa, CA 95403-7231

Specialties and licenses

TaxonomyCodeLicense
Mental Illness Community Based Residential Treatment Facility Primary 320800000X496801902 (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.

4 other providers at this address

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About NPI 1427272004

Community Support Network's National Provider Identifier is 1427272004, issued on Apr 13, 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 Jun 23, 2008.