Organization · Type 2 NPI

Connecticut Renaissance, Inc.

Substance Use Disorder Rehabilitation Clinic/Center · Stamford, CT

NPI number 1700893807 Active

Practice location

141 Franklin St
Stamford, CT 06901-1014

Call (203) 602-4441 Map

Fax (203) 602-7782

Mailing address

350 Fairfield Ave, Suite 701
Bridgeport, CT 06604-6014

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801XC-0266 (CT)
Substance Use Disorder Rehabilitation Clinic/Center Primary 261QR0405XSA-0188 (CT)

Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...

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About NPI 1700893807

Connecticut Renaissance, Inc.'s National Provider Identifier is 1700893807, issued on Aug 2, 2006. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Stamford, CT. The record was last updated on Jul 8, 2019.