Provider Demographics
NPI:1609095611
Name:COMMUNITY SERVICE OPTIONS, INC.
Entity type:Organization
Organization Name:COMMUNITY SERVICE OPTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COMPTROLLER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:ROYSTER
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:773-838-4613
Mailing Address - Street 1:7575 S KOSTNER AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60652-1151
Mailing Address - Country:US
Mailing Address - Phone:773-884-1000
Mailing Address - Fax:773-838-9263
Practice Address - Street 1:7575 S KOSTNER AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60652-1151
Practice Address - Country:US
Practice Address - Phone:773-884-1000
Practice Address - Fax:773-838-9263
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty