Provider First Line Business Practice Location Address:
1000 GALLOPING HILL ROAD
Provider Second Line Business Practice Location Address:
DEVELOPMENTAL DISABILITIES CENTER
Provider Business Practice Location Address City Name:
UNION
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07083
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
908-598-6655
Provider Business Practice Location Address Fax Number:
908-686-8374
Provider Enumeration Date:
11/01/2006