Provider First Line Business Practice Location Address:
12625 HESPERIA RD
Provider Second Line Business Practice Location Address:
VICTOR VALLEY BEHAVIORAL HEALTH CLINIC
Provider Business Practice Location Address City Name:
VICTORVILLE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92392
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
760-955-1777
Provider Business Practice Location Address Fax Number:
760-955-2356
Provider Enumeration Date:
02/13/2007