Whalio Doctors

NPI 1669617973

Connecticut Renaissance, INC.

Organisation Substance Abuse Rehabilitation Facility Waterbury, CT

Practice location

Address
70 Central Ave, Waterbury, CT 06702-1207
Phone
(203) 346-1931
Fax
(203) 346-1935
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 (2)

Substance Abuse Rehabilitation Facility Primary
Residential Treatment Facilities Taxonomy 324500000X
Mental Health Clinic/Center (Including Community Mental Health Center)
Ambulatory Health Care Facilities Taxonomy 261QM0801X Licence 0449 (CT)

Registry record

NPI
1669617973
Entity type
Organization
NPI issued
16 Dec 2008
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.