INTRASPECTUS, LLC
Ambulatory Health at Lyon St, New Haven, CT

License number
Connecticut 005553
Category
Ambulatory Health
Type
Mental Health (Including Community Mental Health Center)
Owner
Name: MR. JEFFREY PAUL KEREKES MSSW, LCSW
Title: MANAGING MEMBER
Phone: (203) 676-0880
Address
Address
93 Lyon St, New Haven, CT 06511
National Provider ID: 1942274618
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about INTRASPECTUS, LLC at bizstanding.com

INTRASPECTUS, LLC

New Haven, CT

Status:
Inactive
Industry:
Health Practitioner's Office
Registration:
Jul 12, 2004
Addresses:
43 Lyon St, New Haven, CT 06511 (Physical)
93 Lyon St, New Haven, CT 06511
State ID:
0790310
Business type:
Domestic Limited Liability Company
PRINCIPAL, Managing Member, Mssw, Lcsw, Principal, Social Worker:
Jeffrey P. Kerekes PRINCIPAL, Managing Member, Mssw, Lcsw, Principal, Social Worker, inactive, 43 Lyon St, New Haven, CT 06511 (Mailing)

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