Organization · Type 2 NPI
Connecticut Renaissance, Inc.
Substance Use Disorder Rehabilitation Clinic/Center · Bridgeport, CT
NPI number
1194069708
Active
Practice location
1126 Main St
Bridgeport, CT 06604-4404
Fax (203) 333-2152
Mailing address
350 Fairfield Ave, Suite 701
Bridgeport, CT 06604-6014
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | 0442 (CT) |
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | 0442 (CT) |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
2 other providers at this address
Other substance use disorder rehabilitation clinic/center providers in Bridgeport
- Helping Hand Center Inc.Substance Use Disorder Rehabilitation Clinic/Center Bridgeport, CT NPI 1053501684
- Applied Behavioral Rehabilitation Institute Inc.Substance Use Disorder Rehabilitation Clinic/Center Bridgeport, CT NPI 1467916197
- Connecticut Renaissance, Inc.Substance Use Disorder Rehabilitation Clinic/Center Bridgeport, CT NPI 1720130362
- Connecticut Renaissance, Inc.Substance Use Disorder Rehabilitation Clinic/Center Bridgeport, CT NPI 1740297845
About NPI 1194069708
Connecticut Renaissance, Inc.'s National Provider Identifier is 1194069708, issued on Nov 20, 2012. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Bridgeport, CT. The record was last updated on Jan 2, 2013.