Provider First Line Business Practice Location Address: 
2300 HAMILTON AVE
    Provider Second Line Business Practice Location Address: 
FAMILY GUIDANCE CENTER CORPORATION
    Provider Business Practice Location Address City Name: 
HAMILTON
    Provider Business Practice Location Address State Name: 
NJ
    Provider Business Practice Location Address Postal Code: 
08619-3007
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
609-587-7044
    Provider Business Practice Location Address Fax Number: 
609-587-6765
    Provider Enumeration Date: 
09/25/2006