Provider First Line Business Practice Location Address:
UNIVERSITY PSYCHIATRIC CENTER
Provider Second Line Business Practice Location Address:
DOCTORS PARK #6
Provider Business Practice Location Address City Name:
GREENVILLE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27858
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
252-744-2404
Provider Business Practice Location Address Fax Number:
252-744-2419
Provider Enumeration Date:
12/08/2005