Connecticut Renaissance, Inc. | |
1126 Main St Bridgeport CT 06604-4404 | |
(203) 333-2040 | |
(203) 333-2152 |
Full Name | Connecticut Renaissance, Inc. |
---|---|
Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
Location | 1126 Main St, Bridgeport, Connecticut |
Authorized Official Name and Position | Joseph B Riker (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 20333652258 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Connecticut Renaissance, Inc. 350 Fairfield Ave Suite 701 Bridgeport CT 06604-6014 Ph: (203) 336-5225 | Connecticut Renaissance, Inc. 1126 Main St Bridgeport CT 06604-4404 Ph: (203) 333-2040 |
NPI Number | 1194069708 |
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Provider Enumeration Date | 11/20/2012 |
Last Update Date | 01/02/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194069708 | NPI | - | NPPES |
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