NPI 1598817140
Connecticut Renaissance, INC
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
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.