Provider Demographics
NPI:1134244510
Name:COMMUNITY CONNECTIONS INC
Entity type:Organization
Organization Name:COMMUNITY CONNECTIONS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:F
Authorized Official - Last Name:CARLSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-842-1708
Mailing Address - Street 1:PO BOX 742
Mailing Address - Street 2:401 W 2ND STREET
Mailing Address - City:WINNER
Mailing Address - State:SD
Mailing Address - Zip Code:57580-0742
Mailing Address - Country:US
Mailing Address - Phone:605-842-1708
Mailing Address - Fax:605-842-0309
Practice Address - Street 1:401 W 2ND STREET
Practice Address - Street 2:
Practice Address - City:WINNER
Practice Address - State:SD
Practice Address - Zip Code:57580-0742
Practice Address - Country:US
Practice Address - Phone:605-842-1708
Practice Address - Fax:605-842-0309
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-21
Last Update Date:2016-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities