Provider Demographics
NPI:1841480423
Name:COMMUNITY SOLUTIONS, INC.
Entity type:Organization
Organization Name:COMMUNITY SOLUTIONS, INC.
Other - Org Name:<UNAVAIL>
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:860-683-7199
Practice Address - Street 1:2853 JOHN F KENNEDY BLVD
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07306-3922
Practice Address - Country:US
Practice Address - Phone:201-521-1300
Practice Address - Fax:201-521-1400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-30
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder