Provider First Line Business Practice Location Address:
112 GREAT NECK ROAD
Provider Second Line Business Practice Location Address:
EMPOWERMENT COUNSELING SERVICES, LLC
Provider Business Practice Location Address City Name:
WATERFORD
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06385
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
860-235-2388
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/16/2017