Provider First Line Business Practice Location Address:
16239 SAINT CLAIR AVE
Provider Second Line Business Practice Location Address:
PATHWAY COUNSELING CENTER, LLC
Provider Business Practice Location Address City Name:
EAST LIVERPOOL
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43920-9449
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
330-383-2961
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/10/2009