| 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 |
|---|---|
| Provider Enumeration Date | 11/20/2012 |
| Last Update Date | 01/02/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194069708 | NPI | - | NPPES |
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