OrganizationActive
Community Options, Inc.
NPI 1053715649 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Cookeville, TN
Provider details
- NPI number
- 1053715649
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Robert Stack, Ceo & President(609) 951-9900
- License
- L000000013051 (TN)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary320600000XLicense L000000013051 (TN)
Residential Treatment Facilities
Practice location
201 N Oak Ave
Cookeville, TN 38501-2437
Phone: (931) 372-0955
Fax: (931) 372-0052
Approximate (ZIP-level) locationGet directions
Mailing address
16 Farber Rd
Princeton, NJ 08540-5913
Registry dates
- Enumerated
- 2014-10-10
- Last updated
- 2014-10-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.