COMMUNITY CONNECTION OF MN, INC. – NPI #1023339389
Community Based Residential Treatment Facility, Mental Illness

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

COMMUNITY CONNECTION OF MN, INC. is a community based residential treatment facility located in DULUTH, MN. NPPES has assigned the NPI number 1023339389 to COMMUNITY CONNECTION OF MN, INC. on June 21, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320800000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Mental Illness.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for COMMUNITY CONNECTION OF MN, INC. below.

NPI Profile for
COMMUNITY CONNECTION OF MN, INC.

NPI Number
1023339389
Enumeration Date

(about 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COMMUNITY CONNECTION OF MN, INC.
Primary location
2701 W. SUPERIOR ST.
SUITE 101
DULUTH, MN 55806
Phone: (218) 525-4126 Fax: (218) 525-5862
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SHARON MACK
CEO
Phone: (218) 525-4126
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320800000X
- Community Based Residential Treatment Facility, Mental Illness (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.