Provider First Line Business Practice Location Address:
7010 CAMP CREEK RD
Provider Second Line Business Practice Location Address:
REHAB
Provider Business Practice Location Address City Name:
MANHATTAN
Provider Business Practice Location Address State Name:
MT
Provider Business Practice Location Address Postal Code:
59741-8343
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
406-581-3147
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/26/2007