Provider Demographics
NPI:1992863583
Name:COMMUNITY SYSTEMS, INC.
Entity Type:Organization
Organization Name:COMMUNITY SYSTEMS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:PAIGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-368-2621
Mailing Address - Street 1:250 CORPORATE BLVD
Mailing Address - Street 2:STE A
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19702-3329
Mailing Address - Country:US
Mailing Address - Phone:302-368-2621
Mailing Address - Fax:302-456-5733
Practice Address - Street 1:250 CORPORATE BLVD
Practice Address - Street 2:STE A
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19702-3329
Practice Address - Country:US
Practice Address - Phone:302-368-2621
Practice Address - Fax:302-456-5733
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE1243103TM1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental DisabilitiesGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE0000259856Medicaid