Provider First Line Business Practice Location Address:
300 CENTER DRIVE SUITE 250
Provider Second Line Business Practice Location Address:
METHADONE CLINIC DEPARTMENT OF MENTAL HEALTH
Provider Business Practice Location Address City Name:
RIVERHEAD
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11901
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
631-852-2683
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/17/2017