COMMUNITY RENEWAL TEAM
NPI 1124397518
Counselor - Pastoral in Hartford, CT
Active since December 14, 2011
About Community Renewal Team NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COMMUNITY RENEWAL TEAM (NPI 1124397518) is a healthcare organization registered as a pastoral in Hartford, Connecticut and active in the NPI registry since December 2011. The organization lists Larry Alonzo Watts, Clinician, as its authorized official.
NPPES Registry Identity
NPI1124397518
Entity TypeOrganization
Primary Taxonomy101YP1600X
Legal Business NameCOMMUNITY RENEWAL TEAM
Location Address1921 PARK STHartford, CT 06106-2118
Mailing Address1921 Park StHartford, CT 06106-2118 · (860) 951-8770 · Fax (860) 233-2796
Phone(860) 951-8770
Fax(860) 233-2796
Organization SubpartNo
Authorized OfficialLarry Alonzo WattsClinician · (860) 951-8770
Enumeration DateDecember 14, 2011
✔ NPI 1124397518 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · PastoralBehavioral Health & Social Service Providers
Taxonomy Code101YP1600X
License✔ Licensed in CT · 007737
1921 PARK ST, Hartford, CT 06106
Group Practice 1
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124397518, enumerated as an "organization" on December 14, 2011.
The provider is located at 1921 PARK ST HARTFORD, CT 06106 and the phone number is (860) 951-8770.
Counselor with taxonomy code 101YP1600X and a focus in Pastoral.
