Community Renewal Team

NPI #1124397518 in Hartford, Connecticut

Provider Information

NPI Number: 1124397518
Entity Type: Organization
Organization Name: Community Renewal Team
Primary Specialty: Counselor - Pastoral
Enumeration Date: Dec 14, 2011
Last Updated: Dec 14, 2011

Practice Location

Address: 1921 PARK ST
City: Hartford
State: Connecticut
ZIP Code: 06106-2118
Phone: (860) 951-8770

Authorized Official

Name: LARRY ALONZO WATTS, LCSW
Title: CLINICIAN
Phone: (860) 951-8770

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Pastoral — Pastoral	101YP1600X	Primary

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