Provider First Line Business Practice Location Address:
CUMBERLAND CTC
Provider Second Line Business Practice Location Address:
100 N. PORTLAND AVE.
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11205
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-260-4831
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/30/2007