| Connections Support Services Llc | |
|
44 Weston Cir Ponte Vedra Beach FL 32081-0650 | |
| (706) 830-5967 | |
| Not Available |
| Full Name | Connections Support Services Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 44 Weston Cir, Ponte Vedra Beach, Florida |
| Authorized Official Name and Position | Jarrett Bolin (CEO) |
| Authorized Official Contact | 7068305967 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Connections Support Services Llc 44 Weston Cir Ponte Vedra Beach FL 32081-0650 Ph: (706) 830-5967 | Connections Support Services Llc 44 Weston Cir Ponte Vedra Beach FL 32081-0650 Ph: (706) 830-5967 |
| NPI Number | 1366089229 |
|---|---|
| Provider Enumeration Date | 12/10/2019 |
| Last Update Date | 12/20/2019 |
| Certification Date | 12/20/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366089229 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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