Provider First Line Business Practice Location Address:
2401 SHADY WILLOW LN
Provider Second Line Business Practice Location Address:
COUNSELING CENTER
Provider Business Practice Location Address City Name:
BRENTWOOD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94513-5330
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
925-516-0653
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/21/2009