Provider First Line Business Practice Location Address:
117 N GARTH AVE
Provider Second Line Business Practice Location Address:
FAMILY COUNSELING CENTER
Provider Business Practice Location Address City Name:
COLUMBIA
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
65203-4103
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
573-449-2581
Provider Business Practice Location Address Fax Number:
573-449-2583
Provider Enumeration Date:
06/30/2005