Provider First Line Business Practice Location Address:
124 FRANKLIN PL
Provider Second Line Business Practice Location Address:
PENINSULA COUNSELING CENTER
Provider Business Practice Location Address City Name:
WOODMERE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11598-1203
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
516-569-6600
Provider Business Practice Location Address Fax Number:
516-374-2261
Provider Enumeration Date:
08/18/2006