Community Support Network
NPI #1922121581 in Cotati, California
Provider Information
- NPI Number
- 1922121581
- Entity Type
- Organization
- Organization Name
- Community Support Network
- Primary Specialty
- Community Based Residential Treatment Facility, Mental Illness
- Enumeration Date
- Apr 9, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 420 E COTATI AVE
- City
- Cotati
- State
- California
- ZIP Code
- 94931-4442
- Phone
- (707) 795-4336
Authorized Official
- Name
- MRS. LAURELIN COGGINS-LEWIS
- Title
- PROGRAM MANAGER
- Phone
- (707) 795-4336
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Mental Illness |
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