Provider First Line Business Practice Location Address:
3169 SECOND AVE EAST
Provider Second Line Business Practice Location Address:
WISE COUNTY BEHAVIORAL HEALTH SERVICES
Provider Business Practice Location Address City Name:
BIG STONE GAP
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
24219
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
276-523-8342
Provider Business Practice Location Address Fax Number:
276-523-6964
Provider Enumeration Date:
03/16/2007