Provider First Line Business Practice Location Address:
9000 ROCKVILLE PIKE NIH NIMH
Provider Second Line Business Practice Location Address:
BLDG 10, RM 1-3633
Provider Business Practice Location Address City Name:
BETHESDA
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20892-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-435-1553
Provider Business Practice Location Address Fax Number:
301-480-4683
Provider Enumeration Date:
10/19/2010