Community Connection Support Services, LLC

NPI #1770035750 in Galax, Virginia

Provider Information

NPI Number: 1770035750
Entity Type: Organization
Organization Name: Community Connection Support Services, LLC
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Oct 26, 2016
Last Updated: Oct 26, 2016

Practice Location

Address: 2460 HEBRON RD
City: Galax
State: Virginia
ZIP Code: 24333-5280
Phone: (276) 233-2817

Authorized Official

Name: MS. CHERYL GRIMM
Title: DIRECTOR
Phone: (276) 233-2817

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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