Provider First Line Business Practice Location Address:
52ND & 761ST TANK BATTALION RD
Provider Second Line Business Practice Location Address:
BUILDING 2255 DEPARTMENT OF SOCIAL WORK
Provider Business Practice Location Address City Name:
FORT HOOD
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76544
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
254-288-6474
Provider Business Practice Location Address Fax Number:
254-288-3281
Provider Enumeration Date:
08/02/2006