institution
Connecticut Renaissance, Inc.
Substance Use Disorder Rehabilitation Clinic/Center in Bridgeport, Connecticut
NPI 1720130362

Connecticut Renaissance, Inc. is a Substance Use Disorder Rehabilitation Clinic/Center based in Shelton, CT and is specialized in Rehabilitation, Substance Use Disorder. Connecticut Renaissance, Inc. practices in Bridgeport, CT. The NPI Number for Connecticut Renaissance, Inc. is 1720130362 and holds a License No. 0412 (Connecticut).

The current practice location address for Connecticut Renaissance, Inc. is 1126 Main St, Bridgeport, CT and can be reached out via phone at 203-368-9755 and via fax at 203-368-9760.

Location: 1126 Main St, Bridgeport, CT, 06484-4368
institution
Provider Profile Details
NPI Number
1720130362
Provider Name
Connecticut Renaissance, Inc.
Credential
Provider Entity Type
Organization
Address
1126 Main St, Bridgeport, CT, 06484-4368
Phone Number
203-368-9755
Fax Number
203-368-9760
Provider Enumeration Date
01/16/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
008002559 05 CT
institution
Provider Business Practice Location Address Details
Address
1126 Main St
City
State
Zip
06604-4404
Phone Number
203-368-9755
Fax Number
203-368-9760
person
Provider Business Mailing Address Details
Address
1126 Main St
City
State
Zip
06604-4404
Phone Number
203-368-9755
Fax Number
203-368-9760
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
0350 (Connecticut)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
License No.
0412 (Connecticut)
Definition
Definition to come...
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