Provider First Line Business Practice Location Address:
34 PARK ST
Provider Second Line Business Practice Location Address:
CONNECTICUT MENTAL HEALTH CENTER
Provider Business Practice Location Address City Name:
NEW HAVEN
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06519
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
203-974-7417
Provider Business Practice Location Address Fax Number:
203-974-7413
Provider Enumeration Date:
12/27/2006