| Community Renewal Team | |
|
675 Tower Ave Hartford CT 06112-1260 | |
| (860) 714-3729 | |
| Not Available |
| Full Name | Community Renewal Team |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 675 Tower Ave, Hartford, Connecticut |
| Authorized Official Name and Position | Lena Rodriguez (CEO) |
| Authorized Official Contact | 8605605600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Renewal Team 15 Balaban Rd Colchester CT 06415-1701 Ph: (860) 537-6100 | Community Renewal Team 675 Tower Ave Hartford CT 06112-1260 Ph: (860) 714-3729 |
| NPI Number | 1669542379 |
|---|---|
| Provider Enumeration Date | 11/09/2006 |
| Last Update Date | 07/26/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669542379 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 000172 (Connecticut) | Primary |
| 251S00000X | Community/behavioral Health | 000827 (Connecticut) | Secondary |
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