Organization
COMMUNITY RENEWAL TEAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LENA RODRIGUEZ (CEO)
(860) 560-5600
Entity
Organization
Contact information
Practice address
675 TOWER AVE, HARTFORD, CT 06112-1260
(860) 714-3729
Mailing address
15 BALABAN RD, COLCHESTER, CT 06415-1701
(860) 537-6100
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
000172
CT
251S00000X
Community/Behavioral Health Agency
000827
CT
Other
Enumeration date
11/09/2006
Last updated
07/26/2007
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