Healthcare Provider Details

I. General information

NPI: 1023936200
Provider Name (Legal Business Name): CONNECT FOR COMMUNITY BEHAVIORAL HEALTH INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

309 W HIGH ST STE A
LIMA OH
45801-4701
US

IV. Provider business mailing address

309 W HIGH ST STE A
LIMA OH
45801-4701
US

V. Phone/Fax

Practice location:
  • Phone: 567-940-9662
  • Fax:
Mailing address:
  • Phone: 567-940-9662
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: LAURA B SITES
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: LPCC-S
Phone: 567-940-9662