Provider First Line Business Practice Location Address:
1 MACKLEM DRIVE
Provider Second Line Business Practice Location Address:
ASBURY COLLEGE; THE CENTER FOR COUNSELING
Provider Business Practice Location Address City Name:
WILMORE
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
40390
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
859-858-3850
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/28/2007