Provider First Line Business Practice Location Address:
1034 GROVE ST.
Provider Second Line Business Practice Location Address:
PSYCHIATRIC UNIT
Provider Business Practice Location Address City Name:
MEADVILLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16335-2945
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-333-5800
Provider Business Practice Location Address Fax Number:
814-333-5818
Provider Enumeration Date:
01/23/2007