Healthcare Provider Details

I. General information

NPI: 1568096469
Provider Name (Legal Business Name): CONNECTIONS HIGH SCHOOL & VOCATIONAL CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2020
Last Update Date: 02/28/2020
Certification Date: 02/28/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1310 OLD CONGRESS AVE
WEST PALM BEACH FL
33409-6314
US

IV. Provider business mailing address

1310 OLD CONGRESS AVE
WEST PALM BEACH FL
33409-6314
US

V. Phone/Fax

Practice location:
  • Phone: 561-328-6044
  • Fax: 561-584-6868
Mailing address:
  • Phone: 561-328-6044
  • Fax: 561-584-6868

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DEBRA JOHNSON
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 561-328-6044