CONNECTICUT RENAISSANCE INC. NPI 1669617973

NPI Information

CONNECTICUT RENAISSANCE, INC. is a mental health (including community mental health center) clinic center in Waterbury, CT. CONNECTICUT RENAISSANCE, INC. NPI is 1669617973. The provider is registered as an organization entity type.

The provider's business location address is:

70 CENTRAL AVE
WATERBURY, CT
ZIP 06702-207
Phone: (203) 346-1931
Fax: (203) 346-1935

The provider's authorized official is Joseph B Riker .
The authorized official title is Cfo/interim Ceo and has the following contact phone number (203) 336-5225.

The CLIA number assigned to this NPI record is 07D2236313 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/16/2008 and was last updated on 6/9/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.