# CONNECTICUT JUNIOR REPUBLIC ASSOCIATION, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174644926
- **Authorized official:** MR. JOHN F BOYD (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (860) 567-9423

## Contact information

- **Practice address:** 80 PROSPECT ST, WATERBURY, CT 06702-1327
- **Practice address phone:** (203) 757-9939
- **Mailing address:** 550 GOSHEN ROAD, PO BOX 161, LITCHFIELD, CT 06759-0161
- **Mailing address phone:** (860) 567-9423

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | SA0189 | CT | Yes |

## Other

- **Enumeration date:** 04/02/2007
- **Last updated:** 06/30/2008