Provider First Line Business Practice Location Address:
655 E. JERSEY ST
Provider Second Line Business Practice Location Address:
CHILD AND ADOLESCENT DAY TREATMENT
Provider Business Practice Location Address City Name:
ELIZABETH
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07202-1259
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
908-994-7595
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/15/2024