Provider First Line Business Practice Location Address:
1 JARRETT WHITE RD
Provider Second Line Business Practice Location Address:
DEPARTMENT OF PSYCHIATRY, ALCOHOL SUBSTANCE ABUSE PROGR
Provider Business Practice Location Address City Name:
TRIPLER AMC
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96859-5001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-779-0995
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/17/2009