Provider Demographics
NPI:1083781991
Name:COMMONSENSE HOUSING INC
Entity Type:Organization
Organization Name:COMMONSENSE HOUSING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:BRISSETTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-989-2719
Mailing Address - Street 1:15 RIVERSIDE DR
Mailing Address - Street 2:
Mailing Address - City:EDDINGTON
Mailing Address - State:ME
Mailing Address - Zip Code:04428-3109
Mailing Address - Country:US
Mailing Address - Phone:207-989-2719
Mailing Address - Fax:207-989-1652
Practice Address - Street 1:15 RIVERSIDE DR
Practice Address - Street 2:
Practice Address - City:EDDINGTON
Practice Address - State:ME
Practice Address - Zip Code:04428-3109
Practice Address - Country:US
Practice Address - Phone:207-989-2719
Practice Address - Fax:207-989-1652
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251C00000X
ME251S00000X, 320600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered251C00000XAgenciesDay Training, Developmentally Disabled Services
Not Answered251S00000XAgenciesCommunity/Behavioral Health
Not Answered320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities