Provider First Line Business Practice Location Address:
3 CLYDE ROAD SUITE 201
Provider Second Line Business Practice Location Address:
CHRISTIAN WELLNESS CENTER OF NJ
Provider Business Practice Location Address City Name:
SOMERSET
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08873
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
732-412-7374
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/20/2010