NPI 1023339389
Community Connection of Mn, INC.
Practice location
- Address
- 2701 W. Superior St. Suite 101, Duluth, MN 55806
- Phone
- (218) 525-4126
- Fax
- (218) 525-5862
Authorised official
- Name
- Sharon Mack
- Title
- Ceo
- Phone
- (218) 525-4126
Registered specialties
Mental Illness Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1023339389
- Entity type
- Organization
- NPI issued
- 21 Jun 2010
- Record last updated
- 21 Jun 2010
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.