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Organization
CONNECTIONS CSP, INC.
Active
Organization
CONNECTIONS CSP, INC.
Active
Other names
Blackbird Landing Group Home
Organization subpart
No
Provider details
NPI number
Authorized official
JEVON Z HICKS (DIRECTOR)
(302) 377-2358
Entity
Organization
Contact information
Practice address
994 BLACKBIRD LANDING RD, TOWNSEND, DE 19734-9141
(302) 659-0512
(302) 659-3949
Mailing address
3821 LANCASTER PIKE, WILMINGTON, DE 19805-1512
(302) 442-6622
(302) 984-3385
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
1518
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001185561
—
DE
Enumeration date
12/06/2006
Last updated
11/11/2020
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