Intraspectus, LLC

NPI #1942274618 in New Haven, Connecticut

Provider Information

NPI Number
1942274618
Entity Type
Organization
Organization Name
Intraspectus, LLC
Primary Specialty
Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date
Feb 17, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
93 LYON ST
ZIP Code
06511-4925
Phone
(203) 676-0880

Authorized Official

Name
MR. JEFFREY PAUL KEREKES, MSSW, LCSW
Title
MANAGING MEMBER
Phone
(203) 676-0880

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Mental Health (Including Community Mental Health Center)Mental Health (Including Community Mental Health Center)

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