Provider First Line Business Practice Location Address:
230 SOUTH FRONTAGE ST.
Provider Second Line Business Practice Location Address:
YALE CHILD STUDY CENTER
Provider Business Practice Location Address City Name:
NEW HAVEN
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06519-7900
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
203-737-1352
Provider Business Practice Location Address Fax Number:
203-737-2797
Provider Enumeration Date:
09/27/2007