Provider First Line Business Practice Location Address:
LAKESIDE COUNSELING CENTER- RITA C. RESESKA
Provider Second Line Business Practice Location Address:
136 BROADWAY # 2
Provider Business Practice Location Address City Name:
WOODCLIFF LAKE
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07677-8079
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
201-391-4492
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/29/2006