Organization
THE RENFREW CENTER, INC.
Active
Other names
The Renfrew Center of Connecticut, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMUEL E. MENAGED (CHIEF EXECUTIVE OFFICER)
(215) 482-5353
Entity
Organization
Contact information
Practice address
1445 E. PUTNAM AVENUE, 1ST FLOOR, OLD GREENWICH, CT 06870
(203) 834-5020
(203) 563-9936
Mailing address
8945 RIDGE AVENUE #R, PHILADELPHIA, PA 19128
(215) 482-5353
(215) 487-3972
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
323P00000X
Psychiatric Residential Treatment Facility
0000-0036
CT
Other
Enumeration date
09/21/2006
Last updated
02/26/2016
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