Provider First Line Business Practice Location Address:
20 MERIDIAN RD
Provider Second Line Business Practice Location Address:
DAY TREATMENT CENTER GATEWAY
Provider Business Practice Location Address City Name:
EATONTOWN
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07724
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
732-578-9090
Provider Business Practice Location Address Fax Number:
732-578-0972
Provider Enumeration Date:
05/30/2007