Provider First Line Business Practice Location Address:
700 E FRANKLIN ST
Provider Second Line Business Practice Location Address:
DEPT OF JUVENILE JUSTICE
Provider Business Practice Location Address City Name:
RICHMOND
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
23219-2328
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
804-225-2719
Provider Business Practice Location Address Fax Number:
804-371-0727
Provider Enumeration Date:
06/22/2007