Provider First Line Business Practice Location Address:
689 CENTRAL AVE
Provider Second Line Business Practice Location Address:
OASIS BEHAVIORAL HEALTH SERVICES LLC
Provider Business Practice Location Address City Name:
BARBOURSVILE
Provider Business Practice Location Address State Name:
WV
Provider Business Practice Location Address Postal Code:
25504-0219
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
304-733-3331
Provider Business Practice Location Address Fax Number:
304-733-3334
Provider Enumeration Date:
03/30/2007