Healthcare Provider Details

I. General information

NPI: 1922477215
Provider Name (Legal Business Name): COMMUNITY OPTIONS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2015
Last Update Date: 09/17/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

119 ELIZABETH ST
SOUTH BOUND BROOK NJ
08880-1267
US

IV. Provider business mailing address

16 FARBER RD
PRINCETON NJ
08540-5913
US

V. Phone/Fax

Practice location:
  • Phone: 609-951-9900
  • Fax:
Mailing address:
  • Phone: 609-951-9900
  • Fax: 609-919-3882

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: DAVID SWEENEY
Title or Position: CHIEF FINANCIAL OFFICER
Credential: MBA, CPA
Phone: 609-951-9900