Provider First Line Business Practice Location Address:
130 SOUTH BRYN MAWR AVE
Provider Second Line Business Practice Location Address:
BRYN MAWR HOSPITAL IN PATIENT PSYCHIATRY
Provider Business Practice Location Address City Name:
BRYN MAWR
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19010
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-526-4283
Provider Business Practice Location Address Fax Number:
610-526-4587
Provider Enumeration Date:
07/29/2006