Provider First Line Business Practice Location Address:
117 - 119 ROOSEVELT AVE.
Provider Second Line Business Practice Location Address:
UCPC BEHAVIORAL HEALTHCARE
Provider Business Practice Location Address City Name:
PLAINFIELD
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07060
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
908-756-6870
Provider Business Practice Location Address Fax Number:
908-756-5566
Provider Enumeration Date:
04/18/2007