NPI 1053715649

Community Options, INC.

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Cookeville, TN

Practice location

Address: 201 N Oak Ave, Cookeville, TN 38501-2437
Phone: (931) 372-0955
Fax: (931) 372-0052
Mailing address: 16 Farber Rd, Princeton, NJ 08540-5913

Authorised official

Name: Robert P. Stack
Title: Ceo & President
Phone: (609) 951-9900

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X Licence L000000013051 (TN)

Other Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Tennessee →

Registry record

NPI: 1053715649
Entity type: Organization
NPI issued: 10 Oct 2014
Record last updated: 10 Oct 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.