Provider First Line Business Practice Location Address:
9920A E. JOHNSON ST.
Provider Second Line Business Practice Location Address:
DEPARTMENT OF BEHAVIORAL MEDICINE- MCHE-DBM
Provider Business Practice Location Address City Name:
JOINT BASE LEWIS MCCHORD
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98433
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
253-968-4851
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/22/2020