Organization
CONNECTIONS COMMUNITY SUPPORT PROGRAMS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEVON Z HICKS (DIRECTOR)
(302) 377-2358
Entity
Organization
Contact information
Practice address
3821 LANCASTER PIKE, WILMINGTON, DE 19805-1512
(302) 230-9102
(302) 984-3329
Mailing address
3821 LANCASTER PIKE, WILMINGTON, DE 19805-1512
(302) 442-6622
(302) 984-3329
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
—
—
207Q00000X
Family Medicine Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM2800X
Methadone Clinic
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
12/06/2006
Last updated
06/07/2021
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