Provider First Line Business Practice Location Address:
18 ALEXANDER STREET
Provider Second Line Business Practice Location Address:
ENCOMPASS COMMUNITY SERVICES
Provider Business Practice Location Address City Name:
WATSOVILLE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95076
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
831-722-5914
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/06/2014