Provider First Line Business Practice Location Address:
325 HERBERTSVILLE RD.
Provider Second Line Business Practice Location Address:
XANADU BEHAVIOR THERAPY
Provider Business Practice Location Address City Name:
BRICK
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08724
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
732-836-3322
Provider Business Practice Location Address Fax Number:
732-840-0965
Provider Enumeration Date:
12/07/2010