Provider First Line Business Practice Location Address:
801 E GREEN ST
Provider Second Line Business Practice Location Address:
KIDS PEACE BHRS
Provider Business Practice Location Address City Name:
ALLANTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18109
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-435-2608
Provider Business Practice Location Address Fax Number:
610-799-8784
Provider Enumeration Date:
02/05/2007