Provider First Line Business Practice Location Address:
BEHAVIORAL MEDICINE & COUNSELING 20 GERMANTOWN RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DANBURY
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06810
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
203-791-2063
Provider Business Practice Location Address Fax Number:
203-790-0010
Provider Enumeration Date:
01/23/2007