institution
Intraspectus, Llc
Mental Health Clinic/Center (Including Community Mental Health Center) in New Haven, Connecticut
NPI 1942274618

Intraspectus, Llc is a Mental Health Clinic/Center (Including Community Mental Health Center) based in New Haven, CT and is specialized in Mental Health (Including Community Mental Health Center). Intraspectus, Llc practices in New Haven, CT. The NPI Number for Intraspectus, Llc is 1942274618 and holds a License No. 005553 (Connecticut).

The current practice location address for Intraspectus, Llc is 93 Lyon St, New Haven, CT and can be reached out via phone at 203-676-0880.

Location: 93 Lyon St, New Haven, CT, 06511-4925
institution
Provider Profile Details
NPI Number
1942274618
Provider Name
Intraspectus, Llc
Credential
Provider Entity Type
Organization
Address
93 Lyon St, New Haven, CT, 06511-4925
Phone Number
203-676-0880
Fax Number
Provider Enumeration Date
02/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
333779 01 CT MHN
140005553CT01 01 CT BCBS
institution
Provider Business Practice Location Address Details
Address
93 Lyon St
City
State
Zip
06511-4925
Phone Number
203-676-0880
Fax Number
person
Provider Business Mailing Address Details
Address
93 Lyon St
City
State
Zip
06511-4925
Phone Number
203-676-0880
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
005553 (Connecticut)
Definition
Definition to come...
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