Provider First Line Business Practice Location Address:
1070 MAIN ST
Provider Second Line Business Practice Location Address:
FELLOWSHIP BEHAVIORAL HEALTHCARE SERVICES
Provider Business Practice Location Address City Name:
PAWTUCKET
Provider Business Practice Location Address State Name:
RI
Provider Business Practice Location Address Postal Code:
02860-4974
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
401-721-5910
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/25/2013