Provider First Line Business Practice Location Address:
70 LINCOLN WAY EAST SUITE
Provider Second Line Business Practice Location Address:
PSI CLINIC
Provider Business Practice Location Address City Name:
JEANNETTE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15644
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-527-0408
Provider Business Practice Location Address Fax Number:
724-527-0487
Provider Enumeration Date:
06/24/2006