Provider First Line Business Practice Location Address:
1372 N SUSQUEHANNA TRAIL
Provider Second Line Business Practice Location Address:
SUITE 330 7 COURTYARD OFFICES COURTYARD COUNSELING CENT
Provider Business Practice Location Address City Name:
SELINSGROVE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17870
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-743-2323
Provider Business Practice Location Address Fax Number:
570-743-2343
Provider Enumeration Date:
05/23/2006