Provider First Line Business Practice Location Address:
650 JOEL DR.
Provider Second Line Business Practice Location Address:
BEHAVIORAL HEALTH
Provider Business Practice Location Address City Name:
FORT CAMPBEL
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
42223
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
785-706-3409
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/26/2007