Organization · Type 2 NPI

Community Suppport Network

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

NPI number 1831219989 Active

Practice location

634 Pressley St
Santa Rosa, CA 95404-5526

Fax (707) 543-8176

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Mental Illness Community Based Residential Treatment Facility Primary 320800000XNone 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.

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About NPI 1831219989

Community Suppport Network's National Provider Identifier is 1831219989, issued on Mar 30, 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 15, 2012.