Organization
RENEW MENTAL HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUBY MENSAH PMHNP (PMHNP)
(860) 823-9886
Entity
Organization
Contact information
Practice address
923 W MAIN ST APT 202, NEW BRITAIN, CT 06053-3474
(860) 823-9886
Mailing address
2389 MAIN ST, GLASTONBURY, CT 06033-4617
(860) 823-9889
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
01/26/2023
Last updated
01/26/2023
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