Provider First Line Business Practice Location Address:
348 13TH STREET, SUITE 203
Provider Second Line Business Practice Location Address:
PARK SLOPE CENTER FOR MENTAL HEALTH
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11215
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-788-2461
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/05/2012