Provider First Line Business Practice Location Address:
307 MARKET STREET
Provider Second Line Business Practice Location Address:
FAMILY THERAPY SERVICES
Provider Business Practice Location Address City Name:
JOHNSTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15901-1701
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-254-4351
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/13/2008