Organization
COMMUNITY CONNECTION SUPPORT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHERYL GRIMM (DIRECTOR)
(276) 233-2817
Entity
Organization
Contact information
Practice address
2460 HEBRON RD, GALAX, VA 24333-5280
(276) 233-2817
(800) 866-3885
Mailing address
2460 HEBRON RD, GALAX, VA 24333-5280
(276) 233-2817
(800) 866-3885
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
2754-08-011
VA
Other
Enumeration date
10/26/2016
Last updated
10/26/2016
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