Provider First Line Business Practice Location Address:
204 CHERRY ST
Provider Second Line Business Practice Location Address:
PSYCHOTHERAPY CENTER FOR CHILDREN, ADULTS AND FAMILIES
Provider Business Practice Location Address City Name:
MILFORD
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06460-3555
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
203-876-0545
Provider Business Practice Location Address Fax Number:
203-876-0814
Provider Enumeration Date:
07/18/2005