Collaborations
LBN: Community Support Network, Inc
Collaborations is an health care organization with primary practice located at 1191 N Sherman Ave , Madison WI 53704-4234. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty.
Community Support Network, Inc can be contacted via phone (608) 421-3239, or through Raettig, Deborah Korsower via phone (608) 421-3239.
Contact Information
Primary practice address
1191 N Sherman Ave
Madison WI 53704-4234
Phone: (608) 421-3239
Fax: (608) 270-2238
Website:
Authorized official contact:
Name: Raettig, Deborah Korsower Master of Science in Social Work (MSSW)
Phone: (608) 421-3239
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X |
Profile Details
| NPI number | 1336563725 |
|---|---|
| LBN Legal business name | Community Support Network, Inc |
| DBA Doing business as | Collaborations |
| Authorized official | Raettig, Deborah Korsower Master of Science in Social Work (MSSW) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 6th, 2014 |
| Last updated | Jul 22nd, 2014 - about 11 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336563725 | NPPES |
| Wisconsin | Other | 3027 | DEPARTMENT OF HEALTH SERVICES DQA |
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