Connecticut Junior Republic Association, Inc.
NPI #1174644926 in Waterbury, Connecticut
Provider Information
- NPI Number
- 1174644926
- Entity Type
- Organization
- Organization Name
- Connecticut Junior Republic Association, Inc.
- Primary Specialty
- Clinic/Center - Adolescent and Children Mental Health
- Enumeration Date
- Apr 2, 2007
- Last Updated
- Jun 30, 2008
Practice Location
- Address
- 80 PROSPECT ST
- City
- Waterbury
- State
- Connecticut
- ZIP Code
- 06702-1327
- Phone
- (203) 757-9939
Authorized Official
- Name
- MR. JOHN F BOYD
- Title
- EXECUTIVE DIRECTOR
- Phone
- (860) 567-9423
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health |
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