Provider First Line Business Practice Location Address:
ARMY SUBSTANCE ABUSE PROGRAM CLINIC
Provider Second Line Business Practice Location Address:
MARY E. WALKER CENTER
Provider Business Practice Location Address City Name:
FORT IRWIN
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92310-5090
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
760-380-4044
Provider Business Practice Location Address Fax Number:
760-380-6469
Provider Enumeration Date:
04/04/2006