Healthcare Provider Details

I. General information

NPI: 1215807698
Provider Name (Legal Business Name): COMMUNITY CONNECTIONS OF CA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/10/2025
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11420 COMMERCIAL PKWY STE C
CASTROVILLE CA
95012-3214
US

IV. Provider business mailing address

11420 COMMERCIAL PKWY STE C
CASTROVILLE CA
95012-3214
US

V. Phone/Fax

Practice location:
  • Phone: 831-737-9684
  • Fax: 833-485-4855
Mailing address:
  • Phone: 831-737-9684
  • Fax: 833-485-4855

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: BRITANY LEE
Title or Position: EXECUTIVE DIRECTOR
Credential: MSW
Phone: 831-737-9684