Organization
CONNECTICUT RENAISSANCE, INC
Active
Parent organization
CONNECTICUT RENAISSANCE, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CONNECTICUT RENAISSANCE, INC
Authorized official
JOY NICOLE PENDOLA LMFT (COO)
(203) 336-5225
Entity
Organization
Contact information
Practice address
31 WOLCOTT ST, WATERBURY, CT 06702-1727
(203) 753-2341
(203) 755-6902
Mailing address
1 WATERVIEW DR STE 202, SHELTON, CT 06484-4368
(203) 336-5225
(203) 336-2851
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
SA-0056
CT
Other
Enumeration date
01/16/2007
Last updated
07/08/2019
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