Provider First Line Business Practice Location Address:
150 W UNIVERSITY BLVD
Provider Second Line Business Practice Location Address:
THE SCOTT CENTER FOR AUTISM TREATMENT
Provider Business Practice Location Address City Name:
MELBOURNE
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32901
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
321-674-8106
Provider Business Practice Location Address Fax Number:
321-674-8411
Provider Enumeration Date:
06/09/2008