Provider First Line Business Practice Location Address:
960 MAIN ST, 8TH FLOOR
Provider Second Line Business Practice Location Address:
HARTFORD BOARD OF ED HEALTH SERVICES
Provider Business Practice Location Address City Name:
HARTFORD
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06103
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
860-695-4005
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/29/2007