| Community Renewal Team | |
|
11 Mountain Ave Suite204 Bloomfield CT 06002-2343 | |
| (860) 286-0528 | |
| (860) 286-0585 |
| Full Name | Community Renewal Team |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 11 Mountain Ave, Bloomfield, Connecticut |
| Authorized Official Name and Position | Lena Rodriquez (CEO) |
| Authorized Official Contact | 8607149200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Renewal Team 11 Mountain Ave Suite204 Bloomfield CT 06002-2343 Ph: (860) 286-0528 | Community Renewal Team 11 Mountain Ave Suite204 Bloomfield CT 06002-2343 Ph: (860) 286-0528 |
| NPI Number | 1629145065 |
|---|---|
| Provider Enumeration Date | 11/29/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629145065 | NPI | - | NPPES |
| 1629145065 | Other | CT | 106H00000X |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 000586 (Connecticut) | Primary |
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