Provider First Line Business Practice Location Address:
727 WELSH ROAD
Provider Second Line Business Practice Location Address:
SUITE 202 PHILMONT GUIDANCE CENTER
Provider Business Practice Location Address City Name:
HUNTINGDON VY
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19006-6357
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-699-6189
Provider Business Practice Location Address Fax Number:
215-914-1663
Provider Enumeration Date:
05/18/2006