Provider First Line Business Practice Location Address:
123 WASHINGTON AVE
Provider Second Line Business Practice Location Address:
RESTORATION COUNSELING
Provider Business Practice Location Address City Name:
ATHENS
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37371
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
423-507-8826
Provider Business Practice Location Address Fax Number:
423-507-8891
Provider Enumeration Date:
11/29/2006