Organization
COMMUNITY CONNECTIONS FOR LIFE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONYA LYNN ROBINSON BS (DIRECTOR)
(786) 657-3276
Entity
Organization
Contact information
Practice address
18441 NE 2 AVE SUITE 505, MIAMI GARDENS, FL 33169
(786) 657-3276
(786) 565-9193
Mailing address
18441 NW 2ND AVE STE 505, MIAMI GARDENS, FL 33169-4562
(786) 657-3276
(786) 565-9193
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010882700
—
FL
05
—
016455000
—
FL
Enumeration date
01/06/2014
Last updated
07/21/2022
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