Provider First Line Business Practice Location Address:
465 N MAIN ST
Provider Second Line Business Practice Location Address:
JOHN D. KELLY BEHAVIORIAL HEALTH
Provider Business Practice Location Address City Name:
PENN YAN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
14527-1069
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
315-531-2400
Provider Business Practice Location Address Fax Number:
315-787-4462
Provider Enumeration Date:
02/02/2012