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NPI Code Detail

MEDICARE: COMMUNITY SOLUTIONS, INC.

MEDICARE: COMMUNITY SOLUTIONS, INC.
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
1322D00000XEmotionally Disturbed Childrens' Residential Treatment Facility46491RI

General Provider Information

NPI Number : 1760606396
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMMUNITY SOLUTIONS, INC.
Provider Business Mailing Address
First Line : 175 ADDISON RD STE 3
Second Line :
City : WINDSOR
State : CT
Zip : 06095-2179
Country : US
Telephone Number : 860-539-7745
Fax Number : 860-683-7181
Provider Business Practice Location Address
First Line : 785 GREENVILLE AVE
Second Line : JOHNSTON HOUSE
City : JOHNSTON
State : RI
Zip : 02919-1329
Country : US
Telephone Number : 401-949-1443
Fax Number : 401-949-1834
Authorized Official
Title or Position : CONTROLLER
Name : MR. NATHAN RUSSELL PROVOST
Credential : CPA
Telephone Number : 860-539-7745
Provider Enumeration Date : 04/13/2007
Last Update Date : 11/01/2023

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Directions to “COMMUNITY SOLUTIONS, INC. ” Practice Location

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