Provider First Line Business Practice Location Address:
350 MAIN AVE
Provider Second Line Business Practice Location Address:
BRIGGS HIGH SCHOOL SBHC
Provider Business Practice Location Address City Name:
NORWALK
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06851-1510
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
203-846-6385
Provider Business Practice Location Address Fax Number:
203-846-6395
Provider Enumeration Date:
03/06/2007