Organization
COMMUNITY RENEWAL TEAM, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA M QUICK LCSW (CLINICIAN)
(860) 714-2010
Entity
Organization
Contact information
Practice address
330 MARKET ST, HARTFORD, CT 06120-2901
(860) 714-2010
(860) 714-8516
Mailing address
330 MARKET ST, HARTFORD, CT 06120-2901
(860) 714-2010
(860) 714-8516
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
007823
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0077823
LCSW
CT
Enumeration date
12/22/2011
Last updated
12/22/2011
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