Provider First Line Business Practice Location Address:
2175 KEELE ST.
Provider Second Line Business Practice Location Address:
DEPARTMENT OF PSYCHIATRY
Provider Business Practice Location Address City Name:
TORONTO
Provider Business Practice Location Address State Name:
ONTARIO
Provider Business Practice Location Address Postal Code:
M6M 3Z4
Provider Business Practice Location Address Country Code:
CA
Provider Business Practice Location Address Telephone Number:
416-658-2147
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/12/2010