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COMMUNITY RENEWAL TEAM INC. NPI 1841301876


NPI Information

NPI: 1841301876
Provider Name: COMMUNITY RENEWAL TEAM, INC.

Doing Business As: CRT BEHAVIORAL HEALTH

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
330 MARKET STREET
HARTFORD, CT
ZIP 06120
Phone: (860) 761-7900
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COMMUNITY RENEWAL TEAM, INC. is a mental health (including community mental health center) clinic center in Hartford, CT. COMMUNITY RENEWAL TEAM, INC. NPI is 1841301876. The provider is registered as an organization entity type.
The provider Is Doing Business As Crt Behavioral Health.

The provider's business location address is:

330 MARKET STREET
HARTFORD, CT
ZIP 06120
Phone: (860) 761-7900
Fax: (860) 761-7928

The provider's authorized official is Gsteve John Kerlejo .
The authorized official title is Up Senior Services and has the following contact phone number (860) 560-5632.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 9/26/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)0372CONNECTICUTNo
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)CONNECTICUTYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1004243747MEDICAIDCONNECTICUT
207-4610MEDICARE OSCAR/CERTIFICATIONCONNECTICUT
3074610MEDICARE OSCAR/CERTIFICATIONCONNECTICUT
4C03172MEDICARE ID-TYPE UNSPECIFIEDCONNECTICUTMEDICARE PART B

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: 4/28/2024

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