Provider First Line Business Practice Location Address:
8023 PSC
Provider Second Line Business Practice Location Address:
PSYCHOLOGY DEPARTMENT
Provider Business Practice Location Address City Name:
HAVELOCK
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28533-8000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
858-220-6833
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/13/2006