Provider First Line Business Practice Location Address:
501 E CAMPUS AVE
Provider Second Line Business Practice Location Address:
HERON POINT OF CHESTERTOWN WELLNESS CENTER
Provider Business Practice Location Address City Name:
CHESTERTOWN
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21620-1696
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-778-7300
Provider Business Practice Location Address Fax Number:
410-810-2731
Provider Enumeration Date:
07/17/2007