Provider First Line Business Practice Location Address:
35 BEECHWOOD RD STE 3A B
Provider Second Line Business Practice Location Address:
INTEGRATED BEHAVIORAL CARE PA
Provider Business Practice Location Address City Name:
SUMMIT
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07901-4604
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
908-766-1000
Provider Business Practice Location Address Fax Number:
908-598-2408
Provider Enumeration Date:
02/21/2007