Provider First Line Business Practice Location Address:
745 CARLISLE ST
Provider Second Line Business Practice Location Address:
BAPTIST COUNSELING SERVICES
Provider Business Practice Location Address City Name:
JACKSON
Provider Business Practice Location Address State Name:
MS
Provider Business Practice Location Address Postal Code:
39202-2415
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
601-974-6251
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/14/2010