Provider First Line Business Practice Location Address:
10326 68 RD
Provider Second Line Business Practice Location Address:
ADVANCED CENTER FOR PSYCHOTHERAPY
Provider Business Practice Location Address City Name:
FOREST HILLS
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11375
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-261-3330
Provider Business Practice Location Address Fax Number:
718-897-0095
Provider Enumeration Date:
03/06/2007