NPI 1649321696

Connecticut Renaissance, INC

Organisation Substance Abuse Rehabilitation Facility Waterbury, CT

Practice location

Address: 31 Wolcott St, Waterbury, CT 06702-1727
Phone: (203) 753-2341
Fax: (203) 755-6902
Mailing address: 1 Waterview Dr STE 202, Shelton, CT 06484-4368

Authorised official

Name: Joy Nicole Pendola
Title: Coo
Phone: (203) 336-5225

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X Licence SA-0056 (CT)

Other Substance Abuse Rehabilitation Facility providers in Connecticut →

Registry record

NPI: 1649321696
Entity type: Organization
NPI issued: 16 Jan 2007
Record last updated: 8 Jul 2019

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.