Provider First Line Business Practice Location Address:
444 STILLWATER AVENUE, SUITE 204
Provider Second Line Business Practice Location Address:
KIDSPEACE NATIONAL CENTERS OF NEW ENGLAND, INC.
Provider Business Practice Location Address City Name:
BANGOR
Provider Business Practice Location Address State Name:
ME
Provider Business Practice Location Address Postal Code:
04401
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
207-299-1414
Provider Business Practice Location Address Fax Number:
207-947-6278
Provider Enumeration Date:
06/21/2010