Connecticut Junior Republic Association, INC.
Clinic/Center, Adolescent and Children Mental Health in Waterbury, Connecticut
1174644926- Practice location
- 80 Prospect St, Waterbury, CT 06702-1327
- Phone
- 203-757-9939
- Fax
- —
- Last updated
- June 30, 2008
Connecticut Junior Republic Association, INC. is a healthcare organization based in Waterbury, CT. Connecticut Junior Republic Association, INC. practices in Waterbury, CT. The NPI Number for Connecticut Junior Republic Association, INC. is 1174644926 and holds a License No. SA0189 (CT). The current practice location address for Connecticut Junior Republic Association, INC. is 80 Prospect St, Waterbury, CT 06702-1327 and can be reached out via phone at 203-757-9939.
Provider Profile Details
- NPI Number
- 1174644926
- Provider Name
- Connecticut Junior Republic Association, INC.
- Provider Entity Type
- Organization
- Address
- 80 Prospect St, Waterbury, CT 06702-1327
- Phone Number
- 203-757-9939
- Primary Taxonomy
- Clinic/Center, Adolescent and Children Mental Health · 261QM0855X
- Organization Subpart
- No
- Authorized Official
- Mr. John F Boyd · Executive Director · 860-567-9423
- Provider Enumeration Date
- April 2, 2007
- Last Update Date
- June 30, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 80 Prospect St
Waterbury, CT 06702-1327 - City
- Waterbury
- State
- Connecticut
- Zip
- 06702-1327
- Phone Number
- 203-757-9939
Provider Business Mailing Address Details
- Address
- 550 Goshen Road
Po Box 161
Litchfield, CT 06759-0161 - City
- Litchfield
- State
- CT
- Zip
- 06759-0161
- Phone Number
- 860-567-9423
License Information
- License Number
- SA0189
- License State
- CT
- Taxonomy
- Clinic/Center, Adolescent and Children Mental Health · 261QM0855X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Connecticut Junior Republic Association, INC.?
The NPI number of Connecticut Junior Republic Association, INC. is 1174644926. It was assigned on April 2, 2007 and is currently active in the NPPES registry.
What is the specialty of Connecticut Junior Republic Association, INC.?
Connecticut Junior Republic Association, INC. is registered under the primary taxonomy Clinic/Center, Adolescent and Children Mental Health (code 261QM0855X), licensed in CT under license number SA0189.
Where does Connecticut Junior Republic Association, INC. practice?
The practice location is 80 Prospect St, Waterbury, CT 06702-1327. The office can be reached at 203-757-9939 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174644926 directly on the NPPES registry website.