MEDICARE: COMMUNITY SOLUTIONS FOR CHILDREN, FAMILIES AND INDIVIDUALS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1740649961
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMMUNITY SOLUTIONS FOR CHILDREN, FAMILIES AND INDIVIDUALS

Provider Business Mailing Address
First Line	:	9015 MURRAY AVE
Second Line	:	100
City	:	GILROY
State	:	CA
Zip	:	95020-3617
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	502 ILLINOIS AVE
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95125-1534
Country	:	US
Telephone Number	:	408-842-7138
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	ERIN O'BRIEN
Credential	:
Telephone Number	:	408-846-4776

Provider Enumeration Date	:	02/16/2016
Last Update Date	:	08/02/2024

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