Provider First Line Business Practice Location Address:
6435 E. BROAD ST AUITE A
Provider Second Line Business Practice Location Address:
CHILDREN'S HOSPITAL GUIDANCE CENTER
Provider Business Practice Location Address City Name:
COLUMBUS
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43213
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
614-355-8000
Provider Business Practice Location Address Fax Number:
614-355-8018
Provider Enumeration Date:
02/28/2007