Provider Demographics
NPI:1952891368
Name:CONNECTIONS
Entity Type:Organization
Organization Name:CONNECTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR, CADC
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:STEWART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-438-6641
Mailing Address - Street 1:405 STANLEY PLAZA BLVD
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-2983
Mailing Address - Country:US
Mailing Address - Phone:302-438-6641
Mailing Address - Fax:
Practice Address - Street 1:1120 BRANDYWINE ST
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19802-5219
Practice Address - Country:US
Practice Address - Phone:302-384-8167
Practice Address - Fax:302-502-3102
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-11
Last Update Date:2018-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE101YA0400XMedicaid