Provider Demographics
NPI: | 1053780429 |
---|---|
Name: | COMMUNITY OPTIONS, INC |
Entity type: | Organization |
Organization Name: | COMMUNITY OPTIONS, INC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | CHIEF FINANCIAL OFFICER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | DAVID |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | SWEENEY |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 609-951-9900 |
Mailing Address - Street 1: | 16 FARBER RD |
Mailing Address - Street 2: | |
Mailing Address - City: | PRINCETON |
Mailing Address - State: | NJ |
Mailing Address - Zip Code: | 08540-5913 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 609-951-9900 |
Mailing Address - Fax: | 609-919-3882 |
Practice Address - Street 1: | 1619 HARBOURTON ROCKTOWN RD |
Practice Address - Street 2: | |
Practice Address - City: | LAMBERTVILLE |
Practice Address - State: | NJ |
Practice Address - Zip Code: | 08530-3005 |
Practice Address - Country: | US |
Practice Address - Phone: | 609-951-9900 |
Practice Address - Fax: | 609-919-3882 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2015-09-16 |
Last Update Date: | 2015-09-17 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 320900000X | Residential Treatment Facilities | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |