Whalio Doctors

NPI 1598817140

Connecticut Renaissance, INC

Organisation Substance Abuse Rehabilitation Facility Waterbury, CT

Practice location

Address
466 W Main St, Waterbury, CT 06702-1123
Phone
(203) 591-8010
Fax
(203) 591-8586
Mailing address
1 Waterview Dr STE 202, Shelton, CT 06484-4368

Authorised official

Name
Dawn Patston
Title
Chief Operating Officer
Phone
(203) 336-5225

Registered specialties

Substance Abuse Rehabilitation Facility Primary
Residential Treatment Facilities Taxonomy 324500000X Licence 0241 (CT)

Registry record

NPI
1598817140
Entity type
Organization
NPI issued
16 Jan 2007
Record last updated
30 Jun 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.