Provider Demographics
NPI:1386343903
Name:COMMUNITY SUPPORTIVE SERVICES INC
Entity type:Organization
Organization Name:COMMUNITY SUPPORTIVE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:DANIEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-829-2318
Mailing Address - Street 1:1125 DAYTON ST UNIT AB
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80010-3204
Mailing Address - Country:US
Mailing Address - Phone:303-829-2318
Mailing Address - Fax:
Practice Address - Street 1:1125 DAYTON ST UNIT AB
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80010-3204
Practice Address - Country:US
Practice Address - Phone:303-829-2318
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-02
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services