Provider Demographics
NPI:1417790767
Name:CONNECTIONS RECOVERY SERVICES
Entity type:Organization
Organization Name:CONNECTIONS RECOVERY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LEAD RESOURCE COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:
Authorized Official - Last Name:STULL
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC-S
Authorized Official - Phone:419-635-6624
Mailing Address - Street 1:410 BIRCHARD AVE FL 2
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:OH
Mailing Address - Zip Code:43420-2967
Mailing Address - Country:US
Mailing Address - Phone:419-552-1254
Mailing Address - Fax:567-201-2156
Practice Address - Street 1:410 BIRCHARD AVE FL 2
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:OH
Practice Address - Zip Code:43420-2967
Practice Address - Country:US
Practice Address - Phone:419-552-1254
Practice Address - Fax:567-201-2156
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-14
Last Update Date:2024-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health