Provider First Line Business Practice Location Address:
15 PARKMAN STREET WAC 805
Provider Second Line Business Practice Location Address:
PSYCHIATRY OUTPATIENT REFERRAL SERVICE
Provider Business Practice Location Address City Name:
BOSTON
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02114
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
617-726-5195
Provider Business Practice Location Address Fax Number:
617-724-2808
Provider Enumeration Date:
01/05/2006