Provider Demographics
NPI:1477007532
Name:CONNECTIONS COMMUNITY SUPPORT PROGRAMS, INC.
Entity Type:Organization
Organization Name:CONNECTIONS COMMUNITY SUPPORT PROGRAMS, INC.
Other - Org Name:ACT TEAM 5
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:DEVANEY MCKAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-230-9103
Mailing Address - Street 1:3821 LANCASTER PIKE
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19805-1512
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1423 CAPITOL TRAIL (BLDG. 1)
Practice Address - Street 2:SUITE 1302
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19711
Practice Address - Country:US
Practice Address - Phone:302-565-6697
Practice Address - Fax:302-304-5347
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-06
Last Update Date:2019-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)