Organization
COMMUNITY CONNECTIONS NORTH, INC.
Active
Parent organization
COMMUNITY CONNECTIONS, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY CONNECTIONS, INC.
Authorized official
MRS. BRENDA NEIGHBORS (OFFICE MANAGER)
(208) 377-9814
Entity
Organization
Contact information
Practice address
1230 N NORTHWOOD CENTER CT, SUITE A, COEUR D ALENE, ID 83814-4941
(208) 664-1065
(208) 765-2258
Mailing address
1675 S MAPLE GROVE RD, BOISE, ID 83709-2531
(208) 377-9814
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
DDA-3922
ID
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
RHA-3904
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A0001084
—
ID
Enumeration date
07/29/2013
Last updated
07/29/2013
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