Organization
COMMUNITY CONNECTIONS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JAMI L MARTIN MS (CEO)
(812) 466-2400
Entity
Organization
Contact information
Practice address
2222 LAFAYETTE AVE, TERRE HAUTE, IN 47805-2916
(812) 466-2400
(812) 466-5200
Mailing address
2222 LAFAYETTE AVE, TERRE HAUTE, IN 47805-2916
(812) 466-2400
(812) 466-5200
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200860580
—
IN
Enumeration date
11/02/2011
Last updated
11/02/2011
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