Provider First Line Business Practice Location Address:
BCCH-PSYCHOLOGY DEPARTMENT
Provider Second Line Business Practice Location Address:
4480 OAK STREET
Provider Business Practice Location Address City Name:
VANCOUVER
Provider Business Practice Location Address State Name:
BRITISH COLUMBIA
Provider Business Practice Location Address Postal Code:
V6H 3V4
Provider Business Practice Location Address Country Code:
CA
Provider Business Practice Location Address Telephone Number:
604-875-2345
Provider Business Practice Location Address Fax Number:
604-875-3230
Provider Enumeration Date:
10/13/2006