Provider First Line Business Practice Location Address:
2575 CENTER ST NE
Provider Second Line Business Practice Location Address:
COUNSELING & TREATMENT SERVICES
Provider Business Practice Location Address City Name:
SALEM
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97310-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
503-378-8373
Provider Business Practice Location Address Fax Number:
503-378-5118
Provider Enumeration Date:
04/16/2007