Provider First Line Business Practice Location Address:
UCONN HEALTH, DEPARTMENT OF PSYCHIATRY, MC2103
Provider Second Line Business Practice Location Address:
263 FARMINGTON AVE, FARMINGTON, CT
Provider Business Practice Location Address City Name:
FARMINGTON
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06030-1001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
860-679-1283
Provider Business Practice Location Address Fax Number:
860-679-4077
Provider Enumeration Date:
06/05/2008