Organization
COMMUNITY CONNECTION OF MN, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHARON MACK (CEO)
(218) 525-4126
Entity
Organization
Contact information
Practice address
2701 W. SUPERIOR ST., SUITE 101, DULUTH, MN 55806
(218) 525-4126
(218) 525-5862
Mailing address
2701 W. SUPERIOR ST., SUITE 101, DULUTH, MN 55806
(218) 525-4126
(218) 525-5862
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/21/2010
Last updated
06/21/2010
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