Organization
HEALTH CARE CONNECTIONS SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. COURTNEY GRAVES DR (EXECUTIVE DIRECTOR)
(314) 596-2760
Entity
Organization
Contact information
Practice address
2075 AQUEDUCT DR, FLORISSANT, MO 63033-2861
(314) 596-2760
Mailing address
2075 AQUEDUCT DR, FLORISSANT, MO 63033-2861
(314) 596-2760
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QM1000X
Migrant Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295001394
—
MO
Enumeration date
07/15/2021
Last updated
07/15/2021
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