CONNECTIONS COMMUNITY SUPPORT PROGRAMS, INC. NPI 1104173509

Clinic/Center (Mental Health (Including Community Mental Health Center)) in Wilmington, DE

About CONNECTIONS COMMUNITY SUPPORT PROGRAMS, INC.

Connections Community Support Programs, Inc. is a provider in Wilmington, DE. The NPI number assigned to this provider is 1104173509. The practitioner's primary taxonomy code is Clinic/Center (261QM0801X). The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Don's Team.

NPI

1104173509

Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameCONNECTIONS COMMUNITY SUPPORT PROGRAMS, INC.
Provider Location Address500 W. 10TH STREET WILMINGTON, DE 19801 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address500 W. 10TH STREET WILMINGTON, DE 19801 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity TypeOrganization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?N/A
Is Organization Subpart?No Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Other Organization NameDON'S TEAM Additional informationCallout TooltipProvider other organization name
The alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. Codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Other Name TypeDoing Business As (3)
Enumeration Date08-06-2012 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date08-06-2012 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Primary Taxonomy

Taxonomy Code261QM0801X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationMental Health (Including Community Mental Health Center)
License StateDE

Business Address

CONNECTIONS COMMUNITY SUPPORT PROGRAMS, INC.
500 W. 10TH STREET
WILMINGTON, DE
ZIP 19801
Phone: (302) 230-9102
Fax: (302) 984-3329

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Mailing Address

CONNECTIONS COMMUNITY SUPPORT PROGRAMS, INC.
500 W. 10TH STREET
WILMINGTON, DE
ZIP 19801
Phone: (302) 230-9102
Fax: (302) 984-3329

Authorized Official

Authorized Official NameMS. CATHERINE DEVANEY MCKAY MC Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.
Authorized Official TitlePRESIDENT AND CEO
Authorized Official Phone(302) 230-9103

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1013264415CONNECTIONS COMMUNITY SUPPORT PROGRAMS, INC.
Organization
Clinic/Center (Mental Health (Including Community Mental Health Center))500 W. 10TH STREET
WILMINGTON, DE 19801
(302) 230-9102
Previous NPI
1104173491
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1104173517