| Ct Renaissance | |
|
70 Central Ave Waterbury CT 06702-1207 | |
| (203) 346-1931 | |
| (203) 346-1935 |
| Full Name | Ct Renaissance |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 70 Central Ave, Waterbury, Connecticut |
| Authorized Official Name and Position | Dawn Patston (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 2033365225 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ct Renaissance 1 Waterview Dr Ste 202 Shelton CT 06484-4368 Ph: (203) 336-5225 | Ct Renaissance 70 Central Ave Waterbury CT 06702-1207 Ph: (203) 346-1931 |
| NPI Number | 1669617973 |
|---|---|
| Provider Enumeration Date | 12/16/2008 |
| Last Update Date | 06/30/2022 |
| Certification Date | 06/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669617973 | NPI | - | NPPES |
| 008031644 | Medicaid | CT |
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