Provider First Line Business Practice Location Address:
WIESBADEN ARMY SUBSTANCE ABUSE PROGRAM
Provider Second Line Business Practice Location Address:
UNIT 29623
Provider Business Practice Location Address City Name:
APO
Provider Business Practice Location Address State Name:
AE
Provider Business Practice Location Address Postal Code:
09096
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
496117051710
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/15/2006