Provider First Line Business Practice Location Address:
TRENTON PSYCHIATRIC HOSPITAL (LINCOLN BLDG)
Provider Second Line Business Practice Location Address:
SULLIVAN WAY
Provider Business Practice Location Address City Name:
WEST TRENTON
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08628-0500
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
609-777-4447
Provider Business Practice Location Address Fax Number:
609-777-4834
Provider Enumeration Date:
07/05/2006