Organization
CONNECTICUT RENAISSANCE, INC.
Active
Organization
CONNECTICUT RENAISSANCE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK MCAULIFFE MBA, LADC (CEO)
(203) 336-5225
Entity
Organization
Contact information
Practice address
1120 MAIN ST, BRIDGEPORT, CT 06604-4404
(203) 367-6827
(203) 367-7576
Mailing address
350 FAIRFIELD AVE, SUITE 701, BRIDGEPORT, CT 06604-6014
(203) 336-5225
(203) 336-2851
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
0332
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004228575
—
CT
Enumeration date
08/02/2006
Last updated
06/09/2015
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up