Organization
COMMUNITY CONNECTIONS WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD K FISHER (MANAGER)
(602) 907-1719
Entity
Organization
Contact information
Practice address
643 S GREAT SOUTHWEST PKWY STE 102&104, GRAND PRAIRIE, TX 75051-1056
(602) 907-1719
Mailing address
643 S GREAT SOUTHWEST PKWY STE 102&104, GRAND PRAIRIE, TX 75051-1056
(602) 907-1719
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
03/11/2025
Last updated
05/21/2025
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