Healthcare Provider Details

I. General information

NPI: 1427227321
Provider Name (Legal Business Name): INTEGRAL HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/25/2008
Last Update Date: 08/21/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

437 ORANGE STREET
NEW HAVEN CT
06511
US

IV. Provider business mailing address

437 ORANGE STREET
NEW HAVEN CT
06511
US

V. Phone/Fax

Practice location:
  • Phone: 203-909-6370
  • Fax: 203-909-6374
Mailing address:
  • Phone: 203-909-6370
  • Fax: 203-909-6374

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. RICHARD J YUN
Title or Position: PRESIDENT
Credential: MD.
Phone: 203-909-6370