Organization
COMMUNITY CONNECTIONS
Active
Parent organization
COMMUNITY CONNECTIONS
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY CONNECTIONS
Authorized official
BESS CLARK (EXECUTIVE DIRECTOR)
(907) 225-7825
Entity
Organization
Contact information
Practice address
201 DEERMOUNT ST, KETCHIKAN, AK 99901-6649
(907) 225-7825
(907) 225-1541
Mailing address
201 DEERMOUNT ST, KETCHIKAN, AK 99901-6649
(907) 225-7825
(907) 225-1541
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
292852
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DY3369
—
AK
Enumeration date
12/12/2007
Last updated
12/12/2007
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