Provider First Line Business Practice Location Address:
1 MACDONOUGH PLACE
Provider Second Line Business Practice Location Address:
BEIT PALEY CENTER FOR MENTAL HEALTH
Provider Business Practice Location Address City Name:
MIDDLETOWN
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06457-2489
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
860-358-8760
Provider Business Practice Location Address Fax Number:
860-358-8280
Provider Enumeration Date:
11/08/2013