Provider First Line Business Practice Location Address:
56357 PIMA TRL
Provider Second Line Business Practice Location Address:
CHILDREN CRISIS RESPONSE TEAM
Provider Business Practice Location Address City Name:
YUCCA VALLEY
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92284-3607
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
760-228-5242
Provider Business Practice Location Address Fax Number:
760-228-5244
Provider Enumeration Date:
02/01/2007