Organization
COMMUNITY CONNECTIONS PARTNERSHIP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAURIE TAAZLAR-WILLIAMS (EXECUTIVE DIRECTOR)
(651) 644-3140
Entity
Organization
Contact information
Practice address
1295 BANDANA BLVD N, SUITE 135, SAINT PAUL, MN 55108-5126
(651) 644-3140
Mailing address
1295 BANDANA BLVD N, SUITE 135, SAINT PAUL, MN 55108-5126
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A318013100
—
MN
Enumeration date
11/04/2015
Last updated
11/04/2015
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