Organization
COMMUNITY SUPPORT CONNECTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OLUWAFEMI SHODIPE (ADMINISTRATOR)
(443) 348-3981
Entity
Organization
Contact information
Practice address
3100 LORD BALTIMORE DR STE 101, WINDSOR MILL, MD 21244-5804
(443) 348-3981
Mailing address
3100 LORD BALTIMORE DR STE 101, WINDSOR MILL, MD 21244-5804
(443) 348-3981
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
363LC1500X
Community Health Nurse Practitioner
—
—
Other
Enumeration date
03/08/2021
Last updated
03/08/2021
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