Provider First Line Business Practice Location Address:
7470 STATE HWY 154
Provider Second Line Business Practice Location Address:
OAK HAVEN RECOVERY CENTER
Provider Business Practice Location Address City Name:
MARSHALL
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75670
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
903-938-5149
Provider Business Practice Location Address Fax Number:
903-753-9141
Provider Enumeration Date:
07/07/2005