Provider First Line Business Practice Location Address:
415 SILAS DEANE HWY STE 220
Provider Second Line Business Practice Location Address:
A BALANCED LIFE COUNSELING CENTER, LLC
Provider Business Practice Location Address City Name:
WETHERSFIELD
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06109-2119
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
860-529-1696
Provider Business Practice Location Address Fax Number:
860-529-1696
Provider Enumeration Date:
06/14/2007