OrganizationActive
Connecticut Renaissance, Inc.
NPI 1720130362 · Substance Use Disorder Rehabilitation Clinic/Center · Bridgeport, CT
Provider details
- NPI number
- 1720130362
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Dawn Patston, Coo(203) 336-5225
- License
- 0412 (CT)
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Practice location
1126 Main St
Bridgeport, CT 06604-4404
Phone: (203) 368-9755
Fax: (203) 368-9760
Approximate (ZIP-level) locationGet directions
Mailing address
1 Waterview Dr Ste 202
Shelton, CT 06484-4368
Registry dates
- Enumerated
- 2007-01-16
- Last updated
- 2022-12-02
- Certified
- 2022-12-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.