Provider First Line Business Practice Location Address:
393 CENTER ST.
Provider Second Line Business Practice Location Address:
CHILD & FAMILY PSYCHOTHERAPY CENTER
Provider Business Practice Location Address City Name:
WALLINGFORD
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06492-5000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
860-657-8868
Provider Business Practice Location Address Fax Number:
203-284-8302
Provider Enumeration Date:
04/19/2007