OrganizationActive
Connecticut Renaissance, Inc.
NPI 1194069708 · Substance Use Disorder Rehabilitation Clinic/Center · Bridgeport, CT
Provider details
- NPI number
- 1194069708
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Joseph Riker, Executive Director
- License
- 0442 (CT)
Practice location
1126 Main St
Bridgeport, CT 06604-4404
Phone: (203) 333-2040
Fax: (203) 333-2152
Mailing address
350 Fairfield Ave
Bridgeport, CT 06604-6014
Registry dates
- Enumerated
- 2012-11-20
- Last updated
- 2013-01-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.