Connecticut Renaissance, INC.
Substance Abuse Rehabilitation Facility in Waterbury, Connecticut
1669617973- Practice location
- 70 Central Ave, Waterbury, CT 06702-1207
- Phone
- 203-346-1931
- Fax
- 203-346-1935
- Last updated
- June 30, 2022
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 1669617973 and holds a License No. 0449 (CT). The current practice location address for Connecticut Renaissance, INC. is 70 Central Ave, Waterbury, CT 06702-1207 and can be reached out via phone at 203-346-1931 and via fax at 203-346-1935.
Provider Profile Details
- NPI Number
- 1669617973
- Provider Name
- Connecticut Renaissance, INC.
- Provider Entity Type
- Organization
- Address
- 70 Central Ave, Waterbury, CT 06702-1207
- Phone Number
- 203-346-1931
- Fax Number
- 203-346-1935
- Primary Taxonomy
- Substance Abuse Rehabilitation Facility · 324500000X
- Organization Subpart
- No
- Authorized Official
- Dawn Patston, LMFT · Chief Operating Officer · 203-336-5225
- Other Names
- CT Renaissance (Doing Business As)
- Provider Enumeration Date
- December 16, 2008
- Last Update Date
- June 30, 2022
- Certification Date
- June 30, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 70 Central Ave
Waterbury, CT 06702-1207 - City
- Waterbury
- State
- Connecticut
- Zip
- 06702-1207
- Phone Number
- 203-346-1931
- Fax Number
- 203-346-1935
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
License Information
- License Number (1)
- 0449
- License State (1)
- CT
- Taxonomy (1)
- Clinic/Center, Mental Health (Including Community Mental Health Center) · 261QM0801X
- Taxonomy (2)
- 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. | |||
Other Substance Abuse Rehabilitation Facility providers near Waterbury, 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 1669617973. It was assigned on December 16, 2008 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 0449.
Where does Connecticut Renaissance, INC. practice?
The practice location is 70 Central Ave, Waterbury, CT 06702-1207. The office can be reached at 203-346-1931 (phone) or 203-346-1935 (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 1669617973 directly on the NPPES registry website.