Provider First Line Business Practice Location Address:
1517 DURHAM RD
Provider Second Line Business Practice Location Address:
PENNDEL MENTAL HEALTH CTR
Provider Business Practice Location Address City Name:
PENNDEL
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19047
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
267-210-0480
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/29/2006