Provider First Line Business Practice Location Address:
269 UNION ST
Provider Second Line Business Practice Location Address:
BEHAVIORAL HEALTH - BLUE TEAM
Provider Business Practice Location Address City Name:
LYNN
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01901-1314
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
781-691-7164
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/03/2008