Provider First Line Business Practice Location Address:
160 CHURCHILL DOWNS DR
Provider Second Line Business Practice Location Address:
JOHNSTON COUNSELING SERVICES INC.
Provider Business Practice Location Address City Name:
CLAYTON
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27520-5536
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
919-550-6646
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/29/2006