Provider First Line Business Practice Location Address:
36000 DARNALL COOP
Provider Second Line Business Practice Location Address:
DEPARTMENT OF SOCIAL WORK RESILIENCE & RESTORATION CENT
Provider Business Practice Location Address City Name:
FORT HOOD
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76544
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
254-553-2284
Provider Business Practice Location Address Fax Number:
254-553-2292
Provider Enumeration Date:
04/02/2007