Provider First Line Business Practice Location Address:
141 STORAGE ROAD
Provider Second Line Business Practice Location Address:
CHILDREN'S DEVELOPMENTAL SERVICES AGENCY
Provider Business Practice Location Address City Name:
ROCKY MOUNT
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27804
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
252-443-0318
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/26/2007