<Unavail>
LBN: Connecticut Renaissance, Inc.
<Unavail> is an health care organization with primary practice located at 70 Central Ave , Waterbury CT 06702-1207. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Residential Treatment Facilities / Substance Abuse Rehabilitation Facility is the primary health care specialty.
Connecticut Renaissance, Inc. can be contacted via phone (203) 346-1931, or through Patston, Dawn via phone (203) 336-5225.
Contact Information
Primary practice address
70 Central Ave
Waterbury CT 06702-1207
Phone: (203) 346-1931
Fax: (203) 346-1935
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | 0449 | Connecticut |
| Residential Treatment Facilities / Substance Abuse Rehabilitation Facility | 324500000X |
Profile Details
| NPI number | 1669617973 |
|---|---|
| LBN Legal business name | Connecticut Renaissance, Inc. |
| DBA Doing business as | <Unavail> |
| Authorized official | Patston, Dawn LMFT |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 16th, 2008 |
| Last updated | Jun 30th, 2022 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669617973 | NPPES |
| Connecticut | MEDICAID | 008031644 |
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