Provider First Line Business Practice Location Address:
23 SHERMAN STREET
Provider Second Line Business Practice Location Address:
THE PSYCHOTHERAPY CENTER
Provider Business Practice Location Address City Name:
FAIRFIELD
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06824
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
203-815-9800
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/24/2010