Organization
RENEW HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIO CIPOLLA (OWNER)
(854) 867-3639
Entity
Organization
Contact information
Practice address
163 MAIN ST, FARMINGTON, CT 06032-2964
(854) 867-3639
Mailing address
210 MAPLE AVE UNIT 254, CHESHIRE, CT 06410-7710
(854) 867-3639
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
12/15/2025
Last updated
12/15/2025
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