Provider First Line Business Practice Location Address:
543 NORTH STREET
Provider Second Line Business Practice Location Address:
C/O CHILD & FAMILY SERVICES
Provider Business Practice Location Address City Name:
NEW BEDFORD
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02740
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
508-984-5566
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/24/2006