| Community Connect Llc | |
|
3080 Churchill Dr Florissant MO 63033-1116 | |
| (314) 518-1188 | |
| Not Available |
| Full Name | Community Connect Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3080 Churchill Dr, Florissant, Missouri |
| Authorized Official Name and Position | Alicia Sutton (OWNER/CEO) |
| Authorized Official Contact | 3145181188 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Connect Llc 3080 Churchill Dr Florissant MO 63033-1116 Ph: (314) 518-1188 | Community Connect Llc 3080 Churchill Dr Florissant MO 63033-1116 Ph: (314) 518-1188 |
| NPI Number | 1912511379 |
|---|---|
| Provider Enumeration Date | 09/03/2020 |
| Last Update Date | 09/03/2020 |
| Certification Date | 09/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912511379 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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