Provider First Line Business Practice Location Address:
DEDHAM CONSULTATION CENTER
Provider Second Line Business Practice Location Address:
339 WASHINGTON STREET
Provider Business Practice Location Address City Name:
DEDHAM
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02026
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
781-407-7770
Provider Business Practice Location Address Fax Number:
781-326-7413
Provider Enumeration Date:
09/25/2006