Provider First Line Business Practice Location Address:
500 OLD LYNCHBURG ROAD
Provider Second Line Business Practice Location Address:
REGION TEN COMMUNITY SERVICES BOARD
Provider Business Practice Location Address City Name:
CHARLOTTESVILLE
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
22903
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
434-972-1737
Provider Business Practice Location Address Fax Number:
434-970-1465
Provider Enumeration Date:
11/06/2008