Organization
CONNECTICUT RENAISSANCE, INC.
Active
Other names
CT Renaissance
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN PATSTON LMFT (CHIEF OPERATING OFFICER)
(203) 336-5225
Entity
Organization
Contact information
Practice address
70 CENTRAL AVE, WATERBURY, CT 06702-1207
(203) 346-1931
(203) 346-1935
Mailing address
1 WATERVIEW DR STE 202, SHELTON, CT 06484-4368
(203) 336-5225
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
0449
CT
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008031644
—
CT
Enumeration date
12/16/2008
Last updated
06/30/2022
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