Active NPIOrganization

Connecticut Renaissance, INC.

Clinic/Center, Rehabilitation, Substance Use Disorder in Bridgeport, Connecticut

NPI Number1740297845
Practice location
1120 Main St, Bridgeport, CT 06604-4404
Fax
203-367-7576
Last updated
June 9, 2015

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 1740297845 and holds a License No. 0332 (CT). The current practice location address for Connecticut Renaissance, INC. is 1120 Main St, Bridgeport, CT 06604-4404 and can be reached out via phone at 203-367-6827 and via fax at 203-367-7576.

Provider Profile Details

NPI Number
1740297845
Provider Name
Connecticut Renaissance, INC.
Provider Entity Type
Organization
Address
1120 Main St, Bridgeport, CT 06604-4404
Phone Number
203-367-6827
Fax Number
203-367-7576
Organization Subpart
No
Authorized Official
Mr. Patrick Mcauliffe, MBA, LADC · Ceo · 203-336-5225
Provider Enumeration Date
August 2, 2006
Last Update Date
June 9, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
1120 Main St
Bridgeport, CT 06604-4404
Zip
06604-4404
Phone Number
203-367-6827
Fax Number
203-367-7576
Bridgeport, CT 06604Get directions →

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
0332
License State
CT

Legacy Identifiers

IdentifierTypeStateIssuer
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 1740297845. It was assigned on August 2, 2006 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 0332.

Where does Connecticut Renaissance, INC. practice?

The practice location is 1120 Main St, Bridgeport, CT 06604-4404. The office can be reached at 203-367-6827 (phone) or 203-367-7576 (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 1740297845 directly on the NPPES registry website.

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