Healthcare Provider Details

I. General information

NPI: 1104689256
Provider Name (Legal Business Name): CITYSERVE NETWORK
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2024
Last Update Date: 08/12/2025
Certification Date: 08/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 N CHESTER AVE
BAKERSFIELD CA
93308-4838
US

IV. Provider business mailing address

3201 F ST
BAKERSFIELD CA
93301-1839
US

V. Phone/Fax

Practice location:
  • Phone: 661-558-4441
  • Fax:
Mailing address:
  • Phone: 661-558-4441
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code251X00000X
TaxonomySupports Brokerage Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: DON CRABTREE
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 661-623-1081