Provider First Line Business Practice Location Address:
360 HUNTINGTON AVENUE
Provider Second Line Business Practice Location Address:
NORTHEASTERN UNIVERSITY HEALTH AND COUNSELING SERVICES
Provider Business Practice Location Address City Name:
BOSTON
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02115-5000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
617-373-2772
Provider Business Practice Location Address Fax Number:
617-373-4142
Provider Enumeration Date:
01/05/2007