Provider First Line Business Practice Location Address:
474 N. YELLOW SPRINGS ST
Provider Second Line Business Practice Location Address:
MENTAL HEALTH SERVICES FOR CLARK AND MADISON COUNTIES
Provider Business Practice Location Address City Name:
SPRINGFIELD
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
45504
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
937-399-9500
Provider Business Practice Location Address Fax Number:
937-342-4242
Provider Enumeration Date:
01/30/2014