Provider First Line Business Practice Location Address:
720 KENYON ROAD
Provider Second Line Business Practice Location Address:
BERRYHILL CENTER FOR MENTAL HEALTH
Provider Business Practice Location Address City Name:
FORT DODGE
Provider Business Practice Location Address State Name:
IA
Provider Business Practice Location Address Postal Code:
50501
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
515-955-7171
Provider Business Practice Location Address Fax Number:
515-573-7898
Provider Enumeration Date:
07/15/2008