OrganizationActive
Community Options, Inc.
NPI 1396149985 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Chattanooga, TN
Provider details
- NPI number
- 1396149985
- 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
- L000000012772 (TN)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary320600000XLicense L000000012772 (TN)
Residential Treatment Facilities
Practice location
5751 Uptain Rd
Suite 407
Chattanooga, TN 37411-4010
Phone: (423) 892-0022
Fax: (423) 892-7910
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.