Organization
COMMUNITY RENEWAL TEAM, INC.
Active
Parent organization
COMMUNITY RENEWAL TEAM, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY RENEWAL TEAM, INC.
Authorized official
MS. ANNA CECILIA BRACAMONTE MSW (CLINICIAN I)
(860) 951-8770
Entity
Organization
Contact information
Practice address
1921 PARK ST, HARTFORD, CT 06106-2118
(860) 951-8770
(860) 233-2796
Mailing address
1921 PARK ST, HARTFORD, CT 06106-2118
(860) 951-8770
(860) 233-2796
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
1841301876
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008001464
—
CT
Enumeration date
03/28/2014
Last updated
03/28/2014
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