Provider Demographics
NPI:1598079840
Name:COMMUNITY CARE SERVICES
Entity Type:Organization
Organization Name:COMMUNITY CARE SERVICES
Other - Org Name:COMMUNITY CARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CASE MANAGER
Authorized Official - Prefix:MISS
Authorized Official - First Name:SONYA
Authorized Official - Middle Name:SORIYA
Authorized Official - Last Name:PEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-326-2695
Mailing Address - Street 1:70 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:TAUNTON
Mailing Address - State:MA
Mailing Address - Zip Code:02780-2778
Mailing Address - Country:US
Mailing Address - Phone:508-326-2695
Mailing Address - Fax:508-822-2601
Practice Address - Street 1:70 MAIN STREET
Practice Address - Street 2:SAME
Practice Address - City:TAUNTON
Practice Address - State:MA
Practice Address - Zip Code:02780
Practice Address - Country:US
Practice Address - Phone:508-326-2695
Practice Address - Fax:508-822-2601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-28
Last Update Date:2010-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health