Provider First Line Business Practice Location Address:
NOVA PSYCHIATRIC SERVICES INC
Provider Second Line Business Practice Location Address:
1261 FURNACE BROOK PARKWAY
Provider Business Practice Location Address City Name:
QUINCY
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02169
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
617-479-4545
Provider Business Practice Location Address Fax Number:
617-479-4555
Provider Enumeration Date:
10/16/2006