Connecticut Renaissance, INC.
Clinic/Center, Rehabilitation, Substance Use Disorder in Bridgeport, Connecticut
1194069708- Practice location
- 1126 Main St, Bridgeport, CT 06604-4404
- Phone
- 203-333-2040
- Fax
- 203-333-2152
- Last updated
- January 2, 2013
Connecticut Renaissance, INC. is a healthcare organization based in Bridgeport, CT. Connecticut Renaissance, INC. practices in Bridgeport, CT. The NPI Number for Connecticut Renaissance, INC. is 1194069708 and holds a License No. 0442 (CT). The current practice location address for Connecticut Renaissance, INC. is 1126 Main St, Bridgeport, CT 06604-4404 and can be reached out via phone at 203-333-2040 and via fax at 203-333-2152.
Provider Profile Details
- NPI Number
- 1194069708
- Provider Name
- Connecticut Renaissance, INC.
- Provider Entity Type
- Organization
- Address
- 1126 Main St, Bridgeport, CT 06604-4404
- Phone Number
- 203-333-2040
- Fax Number
- 203-333-2152
- Primary Taxonomy
- Clinic/Center, Rehabilitation, Substance Use Disorder · 261QR0405X
- Organization Subpart
- No
- Authorized Official
- Mr. Joseph B Riker, MBA · Executive Director · 20333652258
- Provider Enumeration Date
- November 20, 2012
- Last Update Date
- January 2, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1126 Main St
Bridgeport, CT 06604-4404 - City
- Bridgeport
- State
- Connecticut
- Zip
- 06604-4404
- Phone Number
- 203-333-2040
- Fax Number
- 203-333-2152
Provider Business Mailing Address Details
- Address
- 350 Fairfield Ave
Suite 701
Bridgeport, CT 06604-6014 - City
- Bridgeport
- State
- CT
- Zip
- 06604-6014
- Phone Number
- 203-336-5225
- Fax Number
- 203-336-2851
License Information
- License Number (1)
- 0442
- License State (1)
- CT
- Taxonomy (1)
- Clinic/Center, Mental Health (Including Community Mental Health Center) · 261QM0801X
- License Number (2)
- 0442
- License State (2)
- CT
- Taxonomy (2)
- Clinic/Center, Rehabilitation, Substance Use Disorder · 261QR0405X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Clinic/Center, Rehabilitation, Substance Use Disorders near Bridgeport, CT
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Frequently Asked Questions
What is the NPI number of Connecticut Renaissance, INC.?
The NPI number of Connecticut Renaissance, INC. is 1194069708. It was assigned on November 20, 2012 and is currently active in the NPPES registry.
What is the specialty of Connecticut Renaissance, INC.?
Connecticut Renaissance, INC. is registered under the primary taxonomy Clinic/Center, Rehabilitation, Substance Use Disorder (code 261QR0405X), licensed in CT under license number 0442.
Where does Connecticut Renaissance, INC. practice?
The practice location is 1126 Main St, Bridgeport, CT 06604-4404. The office can be reached at 203-333-2040 (phone) or 203-333-2152 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1194069708 directly on the NPPES registry website.