Provider First Line Business Practice Location Address:
MMC AT SAINT JOHN'S FAMILY SHELTER
Provider Second Line Business Practice Location Address:
1630 SAINT JOHN'S PLACE
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11233-4937
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
914-377-4722
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/05/2007