Organization
COMMUNITY RENEWAL TEAM, INC.
Active
Other names
CRT Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GSTEVE JOHN KERLEJO (UP SENIOR SERVICES)
(860) 560-5632
Entity
Organization
Contact information
Practice address
330 MARKET STREET, HARTFORD, CT 06120
(860) 761-7900
(860) 761-7928
Mailing address
555 WINDSOR STREET, HARTFORD, CT 06120
(860) 761-7900
(860) 761-7928
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
0372
CT
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004243747
—
CT
Enumeration date
08/31/2006
Last updated
09/26/2014
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