OrganizationActive
Community Suppport Network
NPI 1831219989 · Mental Illness Community Based Residential Treatment Facility · Santa Rosa, CA
Provider details
- NPI number
- 1831219989
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Rita Larson, Director of Social Rehabilitation(707) 575-0979
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
634 Pressley St
Santa Rosa, CA 95404-5526
Phone: (707) 573-6955
Fax: (707) 543-8176
Street-level locationGet directions
Mailing address
1410 Guerneville Rd
Santa Rosa, CA 95403-7231
Registry dates
- Enumerated
- 2007-03-30
- Last updated
- 2012-06-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.