Provider First Line Business Practice Location Address:
2000 S PARK PL SE
Provider Second Line Business Practice Location Address:
WELLSTAR OUTPATIENT COUNSELING SERVICES
Provider Business Practice Location Address City Name:
ATLANTA
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30339-2013
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
770-956-6479
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/11/2008