Provider First Line Business Practice Location Address:
490 JEFFERSON ST
Provider Second Line Business Practice Location Address:
NEW LONDON HIGH SCHOOL-BASED HEALTH CENTER
Provider Business Practice Location Address City Name:
NEW LONDON
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06320
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
860-701-3771
Provider Business Practice Location Address Fax Number:
860-701-3771
Provider Enumeration Date:
07/29/2006