Provider First Line Business Practice Location Address:
600 MEDICAL DR
Provider Second Line Business Practice Location Address:
HAMPTON NEWPORT NEWS COMMUNITY SERVICES BOARD
Provider Business Practice Location Address City Name:
HAMPTON
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
23666-6079
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
757-788-0500
Provider Business Practice Location Address Fax Number:
757-788-0928
Provider Enumeration Date:
08/25/2008