Organization
CONNECTIONS CSP, INC.
Active
Other names
Camden West Group Home
Organization subpart
No
Provider details
NPI number
Authorized official
JEVON Z HICKS (DIRECTOR)
(302) 377-2358
Entity
Organization
Contact information
Practice address
124 N WEST ST, CAMDEN, DE 19934-1234
(302) 531-1103
(302) 531-1105
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
1516
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000520061
—
DE
Enumeration date
12/08/2006
Last updated
09/14/2020
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