| Community Connections Collective, Llc | |
|
3701 Old Court Rd Ste 4b Pikesville MD 21208-3901 | |
| (443) 629-5561 | |
| Not Available |
| Full Name | Community Connections Collective, Llc |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 3701 Old Court Rd Ste 4b, Pikesville, Maryland |
| Authorized Official Name and Position | Monique Bobbitt (CEO) |
| Authorized Official Contact | 4436295561 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Connections Collective, Llc 3701 Old Court Rd Ste 4b Pikesville MD 21208-3901 Ph: (443) 629-5561 | Community Connections Collective, Llc 3701 Old Court Rd Ste 4b Pikesville MD 21208-3901 Ph: (443) 629-5561 |
| NPI Number | 1396464517 |
|---|---|
| Provider Enumeration Date | 08/22/2022 |
| Last Update Date | 07/27/2023 |
| Certification Date | 07/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396464517 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Primary |
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