Provider First Line Business Practice Location Address:
150 NORTH MAIN ST
Provider Second Line Business Practice Location Address:
ECHN HEALTH SERVICES
Provider Business Practice Location Address City Name:
MANCHESTER
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06040-4188
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
860-647-6832
Provider Business Practice Location Address Fax Number:
860-647-6831
Provider Enumeration Date:
09/30/2009