Healthcare Provider Details

I. General information

NPI: 1346595691
Provider Name (Legal Business Name): CONNECTIONS COMMUNITY SUPPORT PROGRAMS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2012
Last Update Date: 05/01/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1114 S DUPONT HWY STE 103
DOVER DE
19901-4401
US

IV. Provider business mailing address

3821 LANCASTER PIKE
WILMINGTON DE
19805-1512
US

V. Phone/Fax

Practice location:
  • Phone: 302-336-8307
  • Fax: 302-730-3012
Mailing address:
  • Phone: 302-442-6622
  • Fax: 302-984-3385

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: CATHERINE DEVANEY MCKAY
Title or Position: PRESIDENT AND CEO
Credential:
Phone: 302-230-9103