Provider First Line Business Practice Location Address:
11301 ACACIA PKWY
Provider Second Line Business Practice Location Address:
FAMILY AND YOUTH OUTREACH PROGRAM
Provider Business Practice Location Address City Name:
GARDEN GROVE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92840-5310
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
714-741-5888
Provider Business Practice Location Address Fax Number:
714-636-0351
Provider Enumeration Date:
06/20/2007