Provider First Line Business Practice Location Address:
KLARAS CHILDREN'S CENTER ECI
Provider Second Line Business Practice Location Address:
110 S. 12TH STREET
Provider Business Practice Location Address City Name:
WACO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76703-0890
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
254-752-3451
Provider Business Practice Location Address Fax Number:
254-296-2932
Provider Enumeration Date:
12/22/2005