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Organization
COMMUNITY RENEWAL TEAM, INC.
Active
Organization
COMMUNITY RENEWAL TEAM, INC.
Active
Other names
CRT Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GSTEVE JOHN KERLEJO (UP SENIOR SERVICES)
(860) 560-5632
Entity
Organization
Contact information
Practice address
330 MARKET STREET, HARTFORD, CT 06120
(860) 761-7900
(860) 761-7928
Mailing address
555 WINDSOR STREET, HARTFORD, CT 06120
(860) 761-7900
(860) 761-7928
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
0372
CT
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004243747
—
CT
Enumeration date
08/31/2006
Last updated
09/26/2014
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