Provider First Line Business Practice Location Address:
30 ELLIS DRIVE
Provider Second Line Business Practice Location Address:
GREYSTONE PARK PSYCHIATRIC HOSPITAL
Provider Business Practice Location Address City Name:
MORRIS PLAINS
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07950
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
973-538-1800
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/21/2006