Provider First Line Business Practice Location Address:
78 MADISON AVE
Provider Second Line Business Practice Location Address:
COMMUNITY HEALTH AND COUNSELING SERVICES
Provider Business Practice Location Address City Name:
SKOWHEGAN
Provider Business Practice Location Address State Name:
ME
Provider Business Practice Location Address Postal Code:
04976
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
207-858-4860
Provider Business Practice Location Address Fax Number:
207-858-4864
Provider Enumeration Date:
02/17/2011