Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Connecticut Renaissance, Inc

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1720130362

Connecticut Renaissance, Inc is a Mental Health Clinic/Center (Including Community Mental Health Center) in Bridgeport, Connecticut. Licensed in Connecticut. Registered with an NPI since 2007.

Licensed in
CT
In the registry since
2007
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1126 Main St
Bridgeport, CT 06604-4404
Phone: (203) 368-9755
Fax: (203) 368-9760
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Use Disorder Rehabilitation Clinic/Center (primary) Taxonomy 261QR0405X · Licence 0350 (CT)
Mental Health Clinic/Center (Including Community Mental Health Center) Taxonomy 261QM0801X · Licence 0412 (CT)

Record details

NPI number1720130362
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dawn Patston — Coo · (203) 336-5225
NPI enumeratedJanuary 16, 2007
Last updated in NPPESDecember 2, 2022
Certification dateDecember 2, 2022
Mailing address1 Waterview Dr Ste 202, Shelton, CT 06484-4368

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