NPI 1013362771

Spectrum Professional Services LLC

Organisation Community/Behavioral Health Agency Waterbury, CT

Practice location

Address: 77-79 Bishop St, Waterbury, CT 06704-3306
Phone: (203) 756-7987
Mailing address: 77-79 Bishop Street, Waterbury, CT 06704-1443

Authorised official

Name: Lacey Brandon
Title: Director
Phone: (203) 695-4917

Registered specialties (2)

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X Licence 2384 (CT)

Other Community/Behavioral Health providers in Connecticut →

Community/Behavioral Health Agency

Agencies Taxonomy 251S00000X Licence 1113 (CT)

Registry record

NPI: 1013362771
Entity type: Organization
NPI issued: 2 May 2016
Record last updated: 31 Aug 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.