Provider First Line Business Practice Location Address:
NORTHWESTERN COMMUNITY SERVICES
Provider Second Line Business Practice Location Address:
23 W. MAIN STREET
Provider Business Practice Location Address City Name:
LURAY
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
22835
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
540-743-4548
Provider Business Practice Location Address Fax Number:
540-743-6067
Provider Enumeration Date:
05/03/2007