Connecticut Renaissance, Inc.
LBN: Connecticut Renaissance, Inc.
Connecticut Renaissance, Inc. is an health care organization with primary practice located at 1126 Main St , Bridgeport CT 06604-4404. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder is the primary health care specialty.
Connecticut Renaissance, Inc. can be contacted via phone (203) 368-9755, or through Patston, Dawn E via phone (203) 336-5225.
Contact Information
Primary practice address
1126 Main St
Bridgeport CT 06604-4404
Phone: (203) 368-9755
Fax: (203) 368-9760
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | 0412 | Connecticut |
| Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder | 261QR0405X | 0350 | Connecticut |
Profile Details
| NPI number | 1720130362 |
|---|---|
| LBN Legal business name | Connecticut Renaissance, Inc. |
| DBA Doing business as | |
| Authorized official | Patston, Dawn E LMFT |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 16th, 2007 |
| Last updated | Dec 2nd, 2022 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720130362 | NPPES |
| Connecticut | MEDICAID | 008002559 |
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