Provider First Line Business Practice Location Address:
PROFESSIONAL PSYCHIATRIC ASSOC
Provider Second Line Business Practice Location Address:
33 LILLIAN WAY
Provider Business Practice Location Address City Name:
WAYLAND
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01778
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
781-591-5221
Provider Business Practice Location Address Fax Number:
781-235-6390
Provider Enumeration Date:
06/15/2006