Organization
CONNECTICUT RENAISSANCE, INC
Active
Parent organization
CONNECTICUT RENAISSANCE, INC
Other names
CT Renaissance
Organization subpart
Yes
Provider details
NPI number
Legal business name
CONNECTICUT RENAISSANCE, INC
Authorized official
DAWN PATSTON LMFT (COO)
(203) 336-5225
Entity
Organization
Contact information
Practice address
4 BYINGTON PL, NORWALK, CT 06850-3309
(203) 866-2541
(203) 854-5682
Mailing address
1 WATERVIEW DR STE 202, SHELTON, CT 06484-4368
(203) 336-5225
(203) 336-2851
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004138914
—
CT
Enumeration date
08/02/2006
Last updated
06/30/2022
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