Provider Demographics
NPI:1942752472
Name:COMMUNITY OPTIONS, INC.
Entity Type:Organization
Organization Name:COMMUNITY OPTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:IT DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:HOLLY
Authorized Official - Middle Name:S
Authorized Official - Last Name:TEA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-249-1412
Mailing Address - Street 1:PO BOX 31
Mailing Address - Street 2:336 S. 10TH ST.
Mailing Address - City:MONTROSE
Mailing Address - State:CO
Mailing Address - Zip Code:81402-0031
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:932 N PARK AVE
Practice Address - Street 2:
Practice Address - City:MONTROSE
Practice Address - State:CO
Practice Address - Zip Code:81401-3138
Practice Address - Country:US
Practice Address - Phone:970-249-1412
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-01
Last Update Date:2022-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management