Provider First Line Business Practice Location Address:
123 LINDEN BLVD FL 3
Provider Second Line Business Practice Location Address:
FAMILY SERVICES NETWORK
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11226-3888
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-940-9040
Provider Business Practice Location Address Fax Number:
718-940-9240
Provider Enumeration Date:
10/23/2010