NPI 1811315757

Community Renewal Team, INC.

Organisation Exclusive Provider Organization Hartford, CT

Practice location

Address: 1921 Park St, Hartford, CT 06106-2118
Phone: (860) 951-8770
Fax: (860) 233-2796

Authorised official

Name: Anna Cecilia Bracamonte
Title: Clinician I
Phone: (860) 951-8770

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 1841301876 (CT)

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Registry record

NPI: 1811315757
Entity type: Organization
NPI issued: 28 Mar 2014
Record last updated: 28 Mar 2014

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.