Provider First Line Business Practice Location Address:
1816 LYNDHURST AVENUE
Provider Second Line Business Practice Location Address:
BEHAVIORAL HEALTH CENTER MERCY HORIZONS OUTPATIENT SERV
Provider Business Practice Location Address City Name:
CHARLOTTE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28203-5104
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
704-379-5532
Provider Business Practice Location Address Fax Number:
704-348-4057
Provider Enumeration Date:
09/06/2006