Provider First Line Business Practice Location Address:
500 CUMMINGS CENTER SUITE 5350
Provider Second Line Business Practice Location Address:
NORTH SHORE PSYCHIATRY CENTER
Provider Business Practice Location Address City Name:
BEVERLY
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
01915
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
978-922-8600
Provider Business Practice Location Address Fax Number:
978-922-8601
Provider Enumeration Date:
02/18/2013