Provider First Line Business Practice Location Address:
630 S CRAYCROFT RD
Provider Second Line Business Practice Location Address:
OLD ADOBE COUNSELING
Provider Business Practice Location Address City Name:
TUCSON
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85711-7108
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
520-577-8999
Provider Business Practice Location Address Fax Number:
520-577-8995
Provider Enumeration Date:
05/11/2006