| Renewed Hope Clinical Services, Llc | |
|
310 Main St Suite 1c East Haven CT 06512-2919 | |
| (203) 764-0272 | |
| Not Available |
| Full Name | Renewed Hope Clinical Services, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 310 Main St, East Haven, Connecticut |
| Authorized Official Name and Position | Jennifer Brennan (OWNER) |
| Authorized Official Contact | 2037640272 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Renewed Hope Clinical Services, Llc 310 Main St Suite 1c East Haven CT 06512-2919 Ph: (203) 764-0272 | Renewed Hope Clinical Services, Llc 310 Main St Suite 1c East Haven CT 06512-2919 Ph: (203) 764-0272 |
| NPI Number | 1528436680 |
|---|---|
| Provider Enumeration Date | 09/07/2015 |
| Last Update Date | 09/07/2015 |
| Medicare PECOS PAC ID | 1456642073 |
|---|---|
| Medicare Enrollment ID | O20160628002727 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528436680 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 008391 (Connecticut) | Primary |
| Provider Name | Jennifer Brennan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306148499 PECOS PAC ID: 4183850746 Enrollment ID: I20141210000334 |
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