Organization
COMMUNITY CONNECTIONS RESIDENTIAL SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARIEN J SHAW (DIR RESIDENTIAL SERVICES)
(336) 884-4118
Entity
Organization
Contact information
Practice address
2310 N CENTENNIAL ST, SUITE 102, HIGH POINT, NC 27265-3136
(336) 884-4118
(336) 884-1519
Mailing address
2310 N CENTENNIAL ST, SUITE 102, HIGH POINT, NC 27265-3136
(336) 884-4118
(336) 884-1519
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
041-797
NC
385H00000X
Respite Care
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7805623
—
NC
Enumeration date
12/27/2006
Last updated
09/11/2025
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