Provider First Line Business Practice Location Address:
4200 PARK AVE. 3RD FLOOR
Provider Second Line Business Practice Location Address:
CATHOLIC CHARITIES
Provider Business Practice Location Address City Name:
ASHTABULA
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44004
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
440-992-2121
Provider Business Practice Location Address Fax Number:
440-992-5974
Provider Enumeration Date:
12/11/2006