COMMUNITY RENEWAL TEAM, INC.; NPI #1841301876

Contact Information

COMMUNITY RENEWAL TEAM, INC.

330 MARKET STREET
HARTFORD, CT 06120

Phone: 860-761-7900
Fax: 860-761-7928
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Mental Health (Including Community Mental Health Center)	261QM0801X	B4[14]	Community Mental Health Center

Indicates primary specialty

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NPI Profile & details for COMMUNITY RENEWAL TEAM, INC.

NPI Number 1841301876

LBN Legal business name COMMUNITY RENEWAL TEAM, INC.

Authorized official GSTEVE KERLEJO - (UP SENIOR SERVICES)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/31/2006

Last updated 09/26/2014 - About 12 years ago

Identifiers

CT	License #	0372
CT	Medicaid	004243747

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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COMMUNITY RENEWAL TEAM, INC.

Contact Information

Specialty

Mental Health (Including Community Mental Health Center)

NPI Profile & details for COMMUNITY RENEWAL TEAM, INC.

Reviews for COMMUNITY RENEWAL TEAM, INC.