Healthcare Provider Details

I. General information

NPI: 1194933234
Provider Name (Legal Business Name): COMMUNITY STAFFING RESOURCES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 CLINTON ST
WOONSOCKET RI
02895-3210
US

IV. Provider business mailing address

PO BOX 129
HATFIELD MA
01038-0129
US

V. Phone/Fax

Practice location:
  • Phone: 401-765-5230
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code322D00000X
TaxonomyEmotionally Disturbed Childrens' Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. DOUG HAMMOND
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 800-245-9003