Provider First Line Business Practice Location Address:
340 BAGLEY CIRCLE
Provider Second Line Business Practice Location Address:
SOUTHWESTERN VIRGINIA MENTAL HEALTH INSTITUTE
Provider Business Practice Location Address City Name:
MARION
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
24354-9998
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
276-783-1200
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/17/2006