Connecticut Renaissance, INC
Substance Abuse Rehabilitation Facility in Waterbury, Connecticut
1649321696- Practice location
- 31 Wolcott St, Waterbury, CT 06702-1727
- Phone
- 203-753-2341
- Fax
- 203-755-6902
- Last updated
- July 8, 2019
Connecticut Renaissance, INC is a healthcare organization based in Waterbury, CT. Connecticut Renaissance, INC practices in Waterbury, CT. The NPI Number for Connecticut Renaissance, INC is 1649321696 and holds a License No. SA-0056 (CT). The current practice location address for Connecticut Renaissance, INC is 31 Wolcott St, Waterbury, CT 06702-1727 and can be reached out via phone at 203-753-2341 and via fax at 203-755-6902.
Provider Profile Details
- NPI Number
- 1649321696
- Provider Name
- Connecticut Renaissance, INC
- Provider Entity Type
- Organization
- Address
- 31 Wolcott St, Waterbury, CT 06702-1727
- Phone Number
- 203-753-2341
- Fax Number
- 203-755-6902
- Primary Taxonomy
- Substance Abuse Rehabilitation Facility · 324500000X
- Organization Subpart
- Yes
- Parent Organization
- Connecticut Renaissance, INC
- Authorized Official
- Joy Nicole Pendola, LMFT · Coo · 203-336-5225
- Provider Enumeration Date
- January 16, 2007
- Last Update Date
- July 8, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 31 Wolcott St
Waterbury, CT 06702-1727 - City
- Waterbury
- State
- Connecticut
- Zip
- 06702-1727
- Phone Number
- 203-753-2341
- Fax Number
- 203-755-6902
Provider Business Mailing Address Details
- Address
- 1 Waterview Dr Ste 202
Shelton, CT 06484-4368 - City
- Shelton
- State
- CT
- Zip
- 06484-4368
- Phone Number
- 203-336-5225
- Fax Number
- 203-336-2851
License Information
- License Number
- SA-0056
- License State
- CT
- Taxonomy
- Substance Abuse Rehabilitation Facility · 324500000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Connecticut Renaissance, INC?
The NPI number of Connecticut Renaissance, INC is 1649321696. It was assigned on January 16, 2007 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 Substance Abuse Rehabilitation Facility (code 324500000X), licensed in CT under license number SA-0056.
Where does Connecticut Renaissance, INC practice?
The practice location is 31 Wolcott St, Waterbury, CT 06702-1727. The office can be reached at 203-753-2341 (phone) or 203-755-6902 (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 1649321696 directly on the NPPES registry website.