Connecticut Renaissance, Inc in Waterbury - Substance Abuse Rehabilitation Facility
Connecticut Renaissance, Inc - NPI 1649321696
Connecticut Renaissance, Inc is a Substance Abuse Rehabilitation Facility in Waterbury, Connecticut. Connecticut Renaissance, Inc practices all healthcare services and medical treatments related to Substance Abuse Rehabilitation Facility. The NPI Number for Connecticut Renaissance, Inc is 1649321696. The last update date is 2019-07-08.
Connecticut Renaissance, Inc's current location address is 31 Wolcott St, Waterbury, Connecticut. You can contact this provider via phone number 2037532341 and fax number 2037556902. The mailing address for Connecticut Renaissance, Inc is 31 Wolcott St, Waterbury, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Connecticut Renaissance, Inc |
|---|---|
| Address | 31 Wolcott St, Waterbury, Connecticut |
| Phone Number | 2037532341 |
| Fax Number | 2037556902 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | COO |
|---|---|
| Authorized Official Name | Pendola Nicole Joy |
| Credentials | LMFT |
| Telephone Number | 2033365225 |
NPI Number Detail
| NPI Number | 1649321696 |
|---|---|
| Provider Enumeration Date | 2007-01-16 |
| Last Updated Date | 2019-07-08 |
Provider Mailing Address Detail
| Address | 31 Wolcott St |
|---|---|
| City | Waterbury |
| State | Connecticut (CT) |
| Post Code | 67021727 |
| Phone Number | 2037532341 |
| Fax Number | 2037556902 |
Provider's Primary Taxonomy Detail
| Speciality | Substance Abuse Rehabilitation Facility |
|---|---|
| Taxonomy | 324500000X |
| Licence No | SA-0056 |
|
Definition: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Connecticut Renaissance, Inc by the Centers for Medicare & Medicaid Services?
The Connecticut Renaissance, Inc has been issued the NPI (National Provider Identifier) 1649321696 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Connecticut Renaissance, Inc is physically located?
The Connecticut Renaissance, Inc is physically situated at the following address: 31 Wolcott St, Waterbury, CT, 67021727.
What is the Connecticut Renaissance, Inc's area of specialization and corresponding taxonomy classification?
The Connecticut Renaissance, Inc's specialty field is Substance Abuse Rehabilitation Facility, and it falls under the taxonomy code 324500000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1649321696 to Connecticut Renaissance, Inc?
The Connecticut Renaissance, Inc received its 1649321696 assignment from the Centers for Medicare & Medicaid Services on 2007-01-16.
When was the information regarding Connecticut Renaissance, Inc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Connecticut Renaissance, Inc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2019-07-08.
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