Provider First Line Business Practice Location Address:
GREEN MOUNTAIN TREATMENT CENTER
Provider Second Line Business Practice Location Address:
244 HIGHWATCH RD
Provider Business Practice Location Address City Name:
EFFINGHAM
Provider Business Practice Location Address State Name:
NH
Provider Business Practice Location Address Postal Code:
03882
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
866-652-8889
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/23/2020