CSN DUTTON – NPI #1992828966
Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

Health Care Provider Taxonomy Code for Residential Treatment Facility, Intellectual and/or Developmental Disabilities

CSN DUTTON is a residential treatment facility located in SANTA ROSA, CA. NPPES has assigned the NPI number 1992828966 to CSN DUTTON on April 06, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CSN DUTTON” is a dba name, the actual legal business name for this organization is COMMUNITY SUPPORT NETWORK. The primary taxonomy selected by this provider is 320600000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

The NPI profile was previously updated about 18 years ago on Jul 16, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CSN DUTTON below.

NPI Profile for
COMMUNITY SUPPORT NETWORK

NPI Number
1992828966
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COMMUNITY SUPPORT NETWORK
Doing Business As (dba): CSN DUTTON
Primary location
1550 N. DUTTON AVE
SANTA ROSA, CA 95401
Phone: (707) 573-6962 Fax: (707) 573-6967
Mailing address
1410 GUERNEVILLE RD
SUITE 14
SANTA ROSA, CA 94503
Phone: (707) 575-0979 Fax: (707) 573-6968
Organization Subpart
Yes - CSN DUTTON is subpart of another organization.
Authorized Official
ROSEMARY DEVITT
DIRECTOR OF FINANCE ADMIN.
Phone: (707) 575-0979
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320600000X
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)		 CA 490111656

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.