Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X |
| NPI # | 1255079638 |
| LBN Legal business name | COMMUNITY CONNECTIONS |
| Authorized official | JAMES JOHNSON - (QUALITY ASSURANCE COORDINATOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 05/25/2022 |
| Last updated | 05/25/2022 - About 4 years ago |
| Identifiers | n/a |
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