Provider First Line Business Practice Location Address:
ROUTE 172
Provider Second Line Business Practice Location Address:
DEPT OF MENTAL RETARDATION: SOUTHBURY TRAINING SCHOOL
Provider Business Practice Location Address City Name:
SOUTHBURY
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06488-0901
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
203-586-2621
Provider Business Practice Location Address Fax Number:
203-586-2701
Provider Enumeration Date:
07/06/2006