Organization
A CORE CONNECTION SERVICES AND CONSULTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY GREENE (COO)
(407) 639-4047
Entity
Organization
Contact information
Practice address
2135 W STATE ROAD 434, LONGWOOD, FL 32779-4983
(407) 789-2673
(407) 612-2359
Mailing address
2135 W STATE ROAD 434, LONGWOOD, FL 32779-4983
(407) 789-2673
(407) 612-2359
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101145500
—
FL
05
—
101145502
—
FL
05
—
102136000
—
FL
Enumeration date
10/01/2018
Last updated
02/25/2025
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