CONNECTICUT RENAISSANCE INC. NPI 1700352721

NPI Information

NPI: 1700352721
Provider Name: CONNECTICUT RENAISSANCE, INC.
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

CLIA Number: 07D2218611

Address:
527 WOLCOTT ST
WATERBURY, CT
ZIP 06705
Phone: (203) 336-5225
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CONNECTICUT RENAISSANCE, INC. is a rehabilitation and substance use disorder clinic center in Waterbury, CT. CONNECTICUT RENAISSANCE, INC. NPI is 1700352721. The provider is registered as an organization entity type.

The provider's business location address is:

527 WOLCOTT ST
WATERBURY, CT
ZIP 06705-240
Phone: (203) 336-5225

The provider's authorized official is Joyce Marie Bunovsky-bell .
The authorized official title is Billing Manager and has the following contact phone number (203) 336-5225.

The CLIA number assigned to this NPI record is 07D2218611 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/17/2018 and was last updated on 10/17/2018.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			No
2	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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