Provider Demographics
NPI:1760894919
Name:COMMUNITY SUPPORT SERVICES OF THE CAPITAL DISTRICT INC
Entity Type:Organization
Organization Name:COMMUNITY SUPPORT SERVICES OF THE CAPITAL DISTRICT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECTUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DANIELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:LANS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-944-9215
Mailing Address - Street 1:1076 MADISON AVE
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:NY
Mailing Address - Zip Code:12180-5009
Mailing Address - Country:US
Mailing Address - Phone:518-944-9215
Mailing Address - Fax:
Practice Address - Street 1:1076 MADISON AVE
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:NY
Practice Address - Zip Code:12180-5009
Practice Address - Country:US
Practice Address - Phone:518-944-9215
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-22
Last Update Date:2014-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251S00000XAgenciesCommunity/Behavioral Health
No251V00000XAgenciesVoluntary or Charitable
No251X00000XAgenciesSupports Brokerage