Provider First Line Business Practice Location Address:
100 MISSIONARY RDG
Provider Second Line Business Practice Location Address:
SAMARITAN COUNSELING CENTER
Provider Business Practice Location Address City Name:
BIRMINGHAM
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35242-5236
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
205-967-3660
Provider Business Practice Location Address Fax Number:
205-967-3664
Provider Enumeration Date:
08/21/2008