Connections Support Services LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) in Ponte Vedra Beach, FL. Organization (NPI-2).
NPI number1366089229
StatusActive
Last updated in NPPESDec 20, 2019
Details
- NPI
- 1366089229
- Entity type
- Organization (NPI-2)
- Legal business name
- Connections Support Services LLC
- Organization subpart
- No
- Enumeration date
- Dec 10, 2019
- Certification date
- Dec 20, 2019
- Last updated
- Dec 20, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
44 Weston CirPonte Vedra Beach, FL 32081-0650
Phone 706-830-5967
Mailing address
44 Weston CirPonte Vedra Beach, FL 32081-0650
Phone 706-830-5967
Authorized official
Jarrett Bolin
Ceo
7068305967
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