Provider First Line Business Practice Location Address:
285 OLD WESTPORT RD
Provider Second Line Business Practice Location Address:
UMD/ COUNSELING CENTER
Provider Business Practice Location Address City Name:
N DARTMOUTH
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02747-2356
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
508-999-8000
Provider Business Practice Location Address Fax Number:
508-999-9192
Provider Enumeration Date:
01/07/2009