Provider First Line Business Practice Location Address:
4500 S. LANCASTER RD.
Provider Second Line Business Practice Location Address:
MENTAL HEALTH DEPARTMENT (116A)
Provider Business Practice Location Address City Name:
DALLAS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75216
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
214-857-1048
Provider Business Practice Location Address Fax Number:
972-499-1275
Provider Enumeration Date:
05/18/2006