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Organization
CONNECTICUT JUNIOR REPUBLIC ASSOCIATION, INC.
Active
Organization
CONNECTICUT JUNIOR REPUBLIC ASSOCIATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN F BOYD (EXECUTIVE DIRECTOR)
(860) 567-9423
Entity
Organization
Contact information
Practice address
80 PROSPECT ST, WATERBURY, CT 06702-1327
(203) 757-9939
Mailing address
550 GOSHEN ROAD, PO BOX 161, LITCHFIELD, CT 06759-0161
(860) 567-9423
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
SA0189
CT
Other
Enumeration date
04/02/2007
Last updated
06/30/2008
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