Provider First Line Business Practice Location Address:
601 CHILDREN'S LANE - SOCIAL WORK BEHAVIORAL HEALTH
Provider Second Line Business Practice Location Address:
CHILDREN'S HOSPITAL OF THE KINGS DAUGHTERS
Provider Business Practice Location Address City Name:
NORFOLK
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
23507-1910
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
757-668-7525
Provider Business Practice Location Address Fax Number:
757-668-9077
Provider Enumeration Date:
02/26/2016