Provider First Line Business Practice Location Address:
940 BELMONT STREET (116A)
Provider Second Line Business Practice Location Address:
VABHS MENTAL HEALTH SERVICE
Provider Business Practice Location Address City Name:
BROCKTON
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02301
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
774-826-2476
Provider Business Practice Location Address Fax Number:
774-826-3129
Provider Enumeration Date:
01/03/2007