OrganizationActive
Community Connections and Services, LLC
NPI 1821669839 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Belleville, IL
Provider details
- NPI number
- 1821669839
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Diedre Foote Foote, Executive Director(618) 980-3117
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
2405 Four Lakes Dr.
Belleville, IL 62220
Phone: (618) 980-3117
Approximate (ZIP-level) locationGet directions
Mailing address
2405 Four Lakes Dr.
Belleville, IL 62220
Registry dates
- Enumerated
- 2021-07-09
- Last updated
- 2021-07-09
- Certified
- 2021-06-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.