Organization
CONNECTICUT RENAISSANCE, INC.
Active
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
DAWN E PATSTON LMFT (COO)
(203) 336-5225
Entity
Organization
Contact information
Practice address
525 WOLCOTT ST, WATERBURY, CT 06705-1250
(203) 336-5225
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)
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008031644
—
CT
Enumeration date
10/17/2018
Last updated
12/02/2022
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