Provider First Line Business Practice Location Address:
145 BETHEL COURT
Provider Second Line Business Practice Location Address:
BETHEL AUTISM INSTITUTE
Provider Business Practice Location Address City Name:
MCKENZIE
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
38201
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
731-514-6601
Provider Business Practice Location Address Fax Number:
731-881-7933
Provider Enumeration Date:
02/07/2017