Provider First Line Business Practice Location Address:
744 W MAIN ST
Provider Second Line Business Practice Location Address:
BHS/SCHOOL BASED HEALTH CENTER
Provider Business Practice Location Address City Name:
HYANNIS
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02601-3487
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
508-790-7200
Provider Business Practice Location Address Fax Number:
508-790-3280
Provider Enumeration Date:
10/30/2007