Provider First Line Business Practice Location Address:
1107 NEW POINTE BLVD SUITE B-6
Provider Second Line Business Practice Location Address:
CORE THERAPY SERVICES INC
Provider Business Practice Location Address City Name:
LELAND
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28451-4217
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
910-399-1922
Provider Business Practice Location Address Fax Number:
866-844-3505
Provider Enumeration Date:
06/22/2011