Provider First Line Business Practice Location Address:
300 GEORGE ST SUITE 901
Provider Second Line Business Practice Location Address:
YALE UNIVERSITY DEPARTMENT OF PSYCHIATRY
Provider Business Practice Location Address City Name:
NEW HAVEN
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06511
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
210-785-2095
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/20/2017