Organization · Type 2 NPI

Connecticut Junior Republic Association, Inc.

Adolescent and Children Mental Health Clinic/Center · Waterbury, CT

NPI number 1174644926 Active

Practice location

80 Prospect St
Waterbury, CT 06702-1327

Mailing address

550 Goshen Road, PO Box 161
Litchfield, CT 06759-0161

Specialties and licenses

TaxonomyCodeLicense
Adolescent and Children Mental Health Clinic/Center Primary 261QM0855XSA0189 (CT)

Adolescent and Children Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

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About NPI 1174644926

Connecticut Junior Republic Association, Inc.'s National Provider Identifier is 1174644926, issued on Apr 2, 2007. The primary taxonomy on file is Adolescent and Children Mental Health Clinic/Center (261QM0855X), and the practice location is in Waterbury, CT. The record was last updated on Jun 30, 2008.