Provider First Line Business Practice Location Address:
7424 APENNINES DRIVE
Provider Second Line Business Practice Location Address:
ARMY SUBSTANCE ABUSE PROGRAM
Provider Business Practice Location Address City Name:
FORT RILEY
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
66442
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
785-240-6573
Provider Business Practice Location Address Fax Number:
785-239-0631
Provider Enumeration Date:
02/23/2015