Organization · Type 2 NPI
Community Connection Support Services, LLC
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Galax, VA
Practice location
2460 Hebron Rd
Galax, VA 24333-5280
Fax (800) 866-3885
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | 2754-08-011 (VA) |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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About NPI 1770035750
Community Connection Support Services, LLC's National Provider Identifier is 1770035750, issued on Oct 26, 2016. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Galax, VA. The record was last updated on Oct 26, 2016.