Community Renewal Team
Social Worker, Clinical in Hartford, CT. Organization (NPI-2).
NPI number1679748628
StatusActive
Last updated in NPPESNov 7, 2013
Details
- NPI
- 1679748628
- Entity type
- Organization (NPI-2)
- Legal business name
- Community Renewal Team
- Organization subpart
- No
- Enumeration date
- Apr 29, 2008
- Last updated
- Nov 7, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 006427 | CT | Yes |
Practice location
675 Tower AveMob, Suite 308
Hartford, CT 06112-1273
Phone 860-714-9200 · Fax 860-714-8516
Mailing address
675 Tower AveMob, Suite 308
Hartford, CT 06112-1273
Phone 860-714-9200 · Fax 860-714-8516
Authorized official
Patricia Pollicina
Clinician
8607149200
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