| Community Renewal Team, Inc | |
|
330 Market St Hartford CT 06120-2901 | |
| (860) 761-7900 | |
| Not Available |
| Full Name | Community Renewal Team, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 330 Market St, Hartford, Connecticut |
| Authorized Official Name and Position | Magdalena Rodriguez (CFO) |
| Authorized Official Contact | 8605605608 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Renewal Team, Inc 330 Market St Hartford CT 06120-2901 Ph: (860) 761-7900 | Community Renewal Team, Inc 330 Market St Hartford CT 06120-2901 Ph: (860) 761-7900 |
| NPI Number | 1750752523 |
|---|---|
| Provider Enumeration Date | 10/19/2015 |
| Last Update Date | 10/19/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750752523 | NPI | - | NPPES |
| 004243747 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Connecticut) | Primary |
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