Provider First Line Business Practice Location Address:
MANHATTAN COUNSELING CENTER
Provider Second Line Business Practice Location Address:
4751 MANHATTAN DR
Provider Business Practice Location Address City Name:
ROCKFORD
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
61108-2264
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
815-720-4960
Provider Business Practice Location Address Fax Number:
815-720-4970
Provider Enumeration Date:
10/25/2006