Connecticut Renaissance, Inc. in Bridgeport - Rehabilitation, Substance Use Disorder
Connecticut Renaissance, Inc. - NPI 1720130362
Connecticut Renaissance, Inc. is a Rehabilitation, Substance Use Disorder in Bridgeport, Connecticut. Connecticut Renaissance, Inc. practices all healthcare services and medical treatments related to Rehabilitation, Substance Use Disorder. The NPI Number for Connecticut Renaissance, Inc. is 1720130362. The last update date is 2022-12-02.
Connecticut Renaissance, Inc.'s current location address is 1126 Main St, Bridgeport, Connecticut. You can contact this provider via phone number 2033689755 and fax number 2033689760. The mailing address for Connecticut Renaissance, Inc. is 1126 Main St, Bridgeport, Connecticut. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Connecticut Renaissance, Inc. |
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Address | 1126 Main St, Bridgeport, Connecticut |
Phone Number | 2033689755 |
Fax Number | 2033689760 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | COO |
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Authorized Official Name | Patston E Dawn |
Credentials | LMFT |
Telephone Number | 2033365225 |
NPI Number Detail
NPI Number | 1720130362 |
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Provider Enumeration Date | 2007-01-16 |
Last Updated Date | 2022-12-02 |
Provider Mailing Address Detail
Address | 1126 Main St |
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City | Bridgeport |
State | Connecticut (CT) |
Post Code | 66044404 |
Phone Number | 2033689755 |
Fax Number | 2033689760 |
Provider's Primary Taxonomy Detail
Speciality | Rehabilitation, Substance Use Disorder |
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Taxonomy | 261Qr0405X |
Licence No | 350 |
Definition: Provides therapeutic interventions to treat alcohol and drug addiction. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
8002559 | CT | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Connecticut Renaissance, Inc.?
The Connecticut Renaissance, Inc. has been issued the NPI (National Provider Identifier) 1720130362 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Connecticut Renaissance, Inc. is geographically located?
The Connecticut Renaissance, Inc. is physically situated at the following location: 1126 Main St, Bridgeport, CT, 66044404.
What is the area of specialization for Connecticut Renaissance, Inc., and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Connecticut Renaissance, Inc. is Rehabilitation, Substance Use Disorder, and the corresponding taxonomy code that categorizes this area of expertise is 261Qr0405X.
On what date was the 1720130362 assigned to Connecticut Renaissance, Inc.?
The Connecticut Renaissance, Inc. was issued its 1720130362 on 2007-01-16, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Connecticut Renaissance, Inc.'s information last updated?
The Connecticut Renaissance, Inc.'s information was last updated on 2022-12-02.