Provider Demographics
NPI:1508080136
Name:COMMUNITY SOLUTIONS, INC.
Entity Type:Organization
Organization Name:COMMUNITY SOLUTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONTROLLER
Authorized Official - Prefix:MR
Authorized Official - First Name:NATHAN
Authorized Official - Middle Name:RUSSELL
Authorized Official - Last Name:PROVOST
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:860-539-7745
Mailing Address - Street 1:175 ADDISON RD STE 3
Mailing Address - Street 2:
Mailing Address - City:WINDSOR
Mailing Address - State:CT
Mailing Address - Zip Code:06095-2179
Mailing Address - Country:US
Mailing Address - Phone:860-539-7745
Mailing Address - Fax:860-683-7181
Practice Address - Street 1:344 HOPKINS HILL RD
Practice Address - Street 2:COVENTRY HOUSE
Practice Address - City:COVENTRY
Practice Address - State:RI
Practice Address - Zip Code:02816-6332
Practice Address - Country:US
Practice Address - Phone:401-821-1851
Practice Address - Fax:401-828-4706
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-13
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI46702322D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children