Provider First Line Business Practice Location Address:
3650 GRAHAM HILL ROAD
Provider Second Line Business Practice Location Address:
JUVENILE HALL NURSING UNIT
Provider Business Practice Location Address City Name:
SANTA CRUZ
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95066
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
831-454-3855
Provider Business Practice Location Address Fax Number:
831-454-3826
Provider Enumeration Date:
02/17/2010