Provider First Line Business Practice Location Address:
1755 W. HAMMER LANE SUITE 8
Provider Second Line Business Practice Location Address:
LATINO BEHAVIORAL HEALTH
Provider Business Practice Location Address City Name:
STOCKTON
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95209
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
209-444-8910
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/30/2010